LYDIA B O'BANNON (PA-C) – Physician Assistant, NPI 1770911620

LYDIA B O'BANNON (PA-C) is a healthcare provider. based in Zephyr cove, Nevada. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for LYDIA B O'BANNON (PA-C) is 1770911620

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA B O'BANNON (PA-C)
NPI
1770911620
Phone
(775) 589-8950
Address
212 Elks Point Rd Ste 200
Enumeration Date
30 October 2013
Last Update Date
25 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7755898950
Graduation Year
2013 (13 years ago)
PAC ID
1355669094
Group Practice PAC ID
3375448384
Professional Enrollment ID
I20190919000276
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

Provider Addresses for LYDIA B O'BANNON (PA-C)

  • 212 Elks Point Rd Ste 200

    Zephyr Cove, NV 894488001

    Phone: (775) 589-8950

    Fax: (775) 588-1299

    Type: Location

  • 935 Mica Dr Ste 13

    Carson City, NV 897057181

    Phone: (775) 783-3065

    Fax: (775) 267-1829

    Type: Location

  • 3001 EDWARDS MILL RD

    #200

    RALEIGH, NC 276125243

    Phone: (919) 781-5600

    Fax: (919) 863-6821

    Type: Mailing

  • 2170 SOUTH AVE

    SOUTH LAKE TAHOE, CA 961507026

    Phone: (530) 543-5554

    Fax: (530) 541-3016

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 89448)

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Provider's Procedures

LYDIA B O'BANNON (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNC20610Aspiration and/or injection of large joint or joint capsule2120
PHYSICIAN ASSISTANTNC73562X-ray of knee, 3 views2624

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: 3375448384View full group profile
NameSpecialtyState
DR. WILLIAM HERSHEL COTTRELL (MD)
-CA

Reviews

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Frequently asked questions

What federal number belongs to LYDIA B O'BANNON (PA-C)?
The federal identifier for LYDIA B O'BANNON (PA-C) is NPI 1770911620.
Does this profile mean LYDIA B O'BANNON (PA-C) is currently active?
Yes — LYDIA B O'BANNON (PA-C) appears active in the national provider directory.
What kind of provider is LYDIA B O'BANNON (PA-C)?
The page reflects Physician Assistant for LYDIA B O'BANNON (PA-C). Clinical services aligned with this taxonomy classification.
Where is LYDIA B O'BANNON (PA-C)'s primary listing?
We display Zephyr Cove, Nevada because that is what the record indicates for LYDIA B O'BANNON (PA-C).
How can I contact LYDIA B O'BANNON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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