LYNE E HOMEUS – Family Nurse Practitioner, NPI 1023654654

LYNE E HOMEUS is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11005132 (FL). The NPI Number for LYNE E HOMEUS is 1023654654

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
LYNE E HOMEUS
NPI
1023654654
Phone
(386) 238-9064
Address
1630 MASON AVE STE C
Enumeration Date
19 November 2019
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862740500
Graduation Year
2019 (7 years ago)
PAC ID
3678908878
Group Practice PAC ID
3072424282
Professional Enrollment ID
I20200116000911
Address ID
FL321175114DA1845XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LYNE E HOMEUS

  • 1630 MASON AVE STE C

    DAYTONA BEACH, FL 321174503

    Phone: (386) 238-9064

    Type: Mailing

  • 8 WAYWELL PL

    PALM COAST, FL 321647631

    Phone: (386) 530-1708

    Type: Location

  • 301 Dr Carter Blvd

    Bunnell, FL 321106212

    Phone: (386) 437-7350

    Type: Location

  • 1845 HOLSONBACK DR.

    DAYTONA BEACH, FL 321175114

    Phone: (386) 274-0500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $455.

Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: ViiV Healthcare Company ($342).

Total Amount

$455

General + Research + Ownership

Payments

4

Total payment records

General Amount

$455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200116000911INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072424282View full group profile

Reviews

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Frequently asked questions

How is LYNE E HOMEUS identified in CMS data?
CMS-hosted NPPES data lists LYNE E HOMEUS with NPI 1023654654.
Can I rely on LYNE E HOMEUS being an active provider?
As of the registry snapshot, LYNE E HOMEUS is marked active.
What is LYNE E HOMEUS's primary classification?
Family Nurse Practitioner is the headline specialty for LYNE E HOMEUS here. Clinical services aligned with this taxonomy classification.
What address line appears for LYNE E HOMEUS?
LYNE E HOMEUS's geographic hint is Daytona Beach, Florida in our summary view.
Why does LYNE E HOMEUS have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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