JOHN MARVIN JR. LYTLE – Adult Health Nurse Practitioner, NPI 1356092571

JOHN MARVIN JR. LYTLE is a healthcare provider. based in Ooltewah, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 30618 (TN). The NPI Number for JOHN MARVIN JR. LYTLE is 1356092571

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MARVIN JR. LYTLE
NPI
1356092571
Phone
(772) 349-1084
Address
5346 COLLEGEVIEW DR
Enumeration Date
11 January 2022
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4237788950
Graduation Year
2021 (5 years ago)
PAC ID
1951781970
Group Practice PAC ID
1153780226
Professional Enrollment ID
I20220708001296
Address ID
TN374161761CH7380XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JOHN MARVIN JR. LYTLE

  • 5346 COLLEGEVIEW DR

    OOLTEWAH, TN 373638734

    Phone: (772) 349-1084

    Type: Mailing

  • 2020 WESTLAND DR SW

    CLEVELAND, TN 373118163

    Phone: (423) 478-1970

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-06-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($130).

Total Amount

$410

General + Research + Ownership

Payments

15

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-11

Latest reported date

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: 2022-07-08

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
I20220708001296INurse 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 37363)

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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: 1153780226View full group profile
NameSpecialtyState
Nurse PractitionerTN
H O S P I T A L I S TTN
N E U R O L O G YMI
Hand Surgery, Plastic And Reconstructive SurgeryTN
Physician AssistantTN
P S Y C H I A T R YTN
Internal MedicineTN
U R O L O G YCT
Internal MedicineWI
General SurgeryTN

Reviews

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Frequently asked questions

What is the registry number for JOHN MARVIN JR. LYTLE?
The registry entry for JOHN MARVIN JR. LYTLE shows NPI 1356092571.
Is JOHN MARVIN JR. LYTLE's NPI status active today?
Active status means JOHN MARVIN JR. LYTLE's NPI record is not deactivated in the public file.
How should patients interpret JOHN MARVIN JR. LYTLE's specialty?
The extract shows Adult Health Nurse Practitioner for JOHN MARVIN JR. LYTLE. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN MARVIN JR. LYTLE?
JOHN MARVIN JR. LYTLE is associated with Ooltewah, Tennessee in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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