MS. REBECCA SUEANN LYLE (APRN) – Family Nurse Practitioner, NPI 1669709630

MS. REBECCA SUEANN LYLE (APRN) is a healthcare provider. based in Augusta, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. RN202480 (GA). The NPI Number for MS. REBECCA SUEANN LYLE (APRN) is 1669709630

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. REBECCA SUEANN LYLE (APRN)
NPI
1669709630
Phone
(706) 724-6100
Address
1499 WALTON WAY
Enumeration Date
11 November 2009
Last Update Date
30 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9018207000
Graduation Year
2009 (17 years ago)
PAC ID
6406986702
Group Practice PAC ID
8224180898
Professional Enrollment ID
I20151118000455
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MS. REBECCA SUEANN LYLE (APRN)

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    STE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 724-6100

    Type: Mailing

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-0211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-11-18

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
I20151118000455INurse PractitionerTNTBD

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 30901)

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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: 8224180898View full group profile
NameSpecialtyState
Emergency MedicineTN
-TN
-NC

Reviews

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Frequently asked questions

How is MS. REBECCA SUEANN LYLE (APRN) identified in CMS data?
CMS-hosted NPPES data lists MS. REBECCA SUEANN LYLE (APRN) with NPI 1669709630.
Does CMS list MS. REBECCA SUEANN LYLE (APRN) as active?
Yes — MS. REBECCA SUEANN LYLE (APRN) is active in the NPI listing used on this page.
What taxonomy line describes MS. REBECCA SUEANN LYLE (APRN)?
For research purposes, treat MS. REBECCA SUEANN LYLE (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. REBECCA SUEANN LYLE (APRN) serve?
MS. REBECCA SUEANN LYLE (APRN)'s listing highlights Augusta, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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