NICHOLAS LYONS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164472205

Certified Registered Nurse Anesthetist

NICHOLAS LYONS (CRNA) is a healthcare provider. based in Osage beach, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN2001017840 (MO). The NPI Number for NICHOLAS LYONS (CRNA) is 1164472205

Main info

Male

20 Years Of Experience

Accepts Medicare Assignment

Name

NICHOLAS LYONS (CRNA)

NPI

1164472205

Phone

(573) 302-1661

Address

54 HOSPITAL DRVIE

Enumeration Date

11 May 2006

Last Update Date

5 November 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6362394100

Graduation Year

2006 (20 years ago)

PAC ID

4385739895

Group Practice PAC ID

6204720667

Professional Enrollment ID

I20070928000203

Address ID

MO630903127WA901XXSTXX401

Contacts

FHIR Endpoint

https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for NICHOLAS LYONS (CRNA)

54 HOSPITAL DRVIE
OSAGE BEACH, MO 65065
Phone: (573) 302-1661
Type: Location
751 Sappington Bridge Rd
Sullivan, MO 630802354
Phone: (573) 468-1343
Type: Location
KK Highway, Damsel, Osage Beach, Camden County, Missouri, 65065, United States
SUITE F
OSAGE BEACH, MO 650653285
Phone: (573) 302-1661
Fax: (573) 302-1719
Type: Mailing

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: 2007-09-28

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20070928000203	I	Certified Registered Nurse Anesthetist (Crna)	MO	TBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	13	13	$0

View full utilization report →

Insurance plans in this area (ZIP 65065)

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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: 6204720667View full group profile

Name	Specialty	State
MRS. MARIA JONES (C-AA)	Anesthesiology Assistant	MO
MARY ELLEN FRANTZ (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
KELSEY E WESTBROOK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
DR. BRIAN LOUIS WEBER (MD)	A N E S T H E S I O L O G Y	MO
DR. MELISSA LEE BROWN (MD)	A N E S T H E S I O L O G Y	MO
DR. MARISSA OMURTAG (M.D.)	A N E S T H E S I O L O G Y	MO
MRS. MEGAN D. HAMILTON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
MS. ALKISTIS N LAPPAS-CASE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
MS. ANNE H RICKMEYER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO
MRS. JAMIE DEUBEL (DNP, CRNA)	Certified Registered Nurse Anesthetist (Crna)	MO

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Frequently asked questions

What NPI should I save for NICHOLAS LYONS (CRNA)?

Save NPI 1164472205 if you need a stable reference for NICHOLAS LYONS (CRNA).

Is NICHOLAS LYONS (CRNA) active in the national directory?

NICHOLAS LYONS (CRNA)'s public NPI profile is in an active state.

What field does NICHOLAS LYONS (CRNA) work in?

You can think of NICHOLAS LYONS (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is NICHOLAS LYONS (CRNA)'s primary listing?

We display Osage Beach, Missouri because that is what the record indicates for NICHOLAS LYONS (CRNA).

Is NICHOLAS LYONS (CRNA) a real provider?

This page reflects official NPPES data for NPI 1164472205. Always confirm identity and privileges with the practice and licensing boards.