TRENT LYMAN (PAC) – Physician Assistant, NPI 1821458969

TRENT LYMAN (PAC) is a healthcare provider. based in Orem, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA60634542 (WA). The NPI Number for TRENT LYMAN (PAC) is 1821458969

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TRENT LYMAN (PAC)
NPI
1821458969
Phone
(801) 885-1990
Address
332 W 500 S
Enumeration Date
2 March 2016
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096823300
Graduation Year
2016 (10 years ago)
PAC ID
6507145224
Group Practice PAC ID
9133027360
Professional Enrollment ID
I20161130000855
Address ID
WA988168810CH110XXDRXX500

Contacts

FHIR Endpoint
https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

4,285 PHYSICIAN ASSISTANT in WA

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Provider Addresses for TRENT LYMAN (PAC)

  • 332, West 500 South, The Farm, Snow, Orem, Utah County, Utah, 84058, United States

    OREM, UT 840584811

    Phone: (801) 885-1990

    Type: Mailing

  • Lake Chelan Community Hospital, 503, East Highland Avenue, Chelan, Chelan County, Washington, 98816, United States

    CHELAN, WA 988168631

    Phone: (509) 682-3300

    Type: Location

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 100 HIGHLINE DR

    E WENATCHEE, WA 988025341

    Phone: (509) 662-1511

    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: 2016-11-30

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
I20161130000855IPhysician AssistantWATBD

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 84058)

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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: 9133027360View full group profile
NameSpecialtyState
-WA
Internal MedicineIN
Hospitalist, Family PracticeMN
Family PracticeKS
Diagnostic RadiologyMN
Physician AssistantWA
Hospitalist, Family PracticeNV
Physician AssistantWA
General SurgeryMN
Physician AssistantWA

Reviews

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Frequently asked questions

Does TRENT LYMAN (PAC) have a public NPI I can cite?
Public records show TRENT LYMAN (PAC) under NPI 1821458969.
Is TRENT LYMAN (PAC)'s NPI status active today?
Active status means TRENT LYMAN (PAC)'s NPI record is not deactivated in the public file.
What services align with TRENT LYMAN (PAC)'s listing?
TRENT LYMAN (PAC)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TRENT LYMAN (PAC)?
TRENT LYMAN (PAC) shows a connection to Orem, Utah in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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