LAURA ALISON LYON (AGPCNP-C, APRN, MSN) – Gerontology Nurse Practitioner, NPI 1619423886

LAURA ALISON LYON (AGPCNP-C, APRN, MSN) is a healthcare provider. based in Allen, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-C, APRN, MSN. They hold a License No. 41949.1830 (WY). The NPI Number for LAURA ALISON LYON (AGPCNP-C, APRN, MSN) is 1619423886

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ALISON LYON (AGPCNP-C, APRN, MSN)
NPI
1619423886
Phone
(972) 839-3770
Address
1501 GREENBRIAR DR
Enumeration Date
28 August 2016
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034132200
Graduation Year
2016 (10 years ago)
PAC ID
4981986429
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20200211000302
Address ID
OR972271623PO2801XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:9State licenses:3Digital endpointsOther names

596 NURSE PRACTITIONER in WY

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Provider Addresses for LAURA ALISON LYON (AGPCNP-C, APRN, MSN)

  • 1501, Greenbriar Drive, Suncreek, Allen, Collin County, Texas, 75025, United States

    ALLEN, TX 750132936

    Phone: (972) 839-3770

    Type: Mailing

  • Cheyenne Regional Medical Center, 214, East 23rd Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013748

    Phone: (307) 634-2273

    Type: Location

  • 2801 N GANTENBEIN AVE

    PORTLAND, OR 972271623

    Phone: (503) 413-6862

    Fax: (503) 255-8813

    Type: Location

  • PO BOX 3777

    PORTLAND, OR 972083777

    Phone: (503) 413-3900

    Fax: (503) 413-3710

    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: 2020-02-11

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
I20200211000302INurse PractitionerORTBD

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 75013)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

How do I look up LAURA ALISON LYON (AGPCNP-C, APRN, MSN) by NPI?
Use NPI 1619423886 when you need to reference LAURA ALISON LYON (AGPCNP-C, APRN, MSN) in forms, claims, or directories.
Is LAURA ALISON LYON (AGPCNP-C, APRN, MSN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does LAURA ALISON LYON (AGPCNP-C, APRN, MSN) list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for LAURA ALISON LYON (AGPCNP-C, APRN, MSN). Clinical services aligned with this taxonomy classification.
What location shows for LAURA ALISON LYON (AGPCNP-C, APRN, MSN)?
We surface Allen, Texas for LAURA ALISON LYON (AGPCNP-C, APRN, MSN) based on available NPPES addresses.
How can I contact LAURA ALISON LYON (AGPCNP-C, APRN, MSN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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