John A Lyle, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

SD CRNA CR000668 Issued in SD

Practice address

800 E 21St St
Sioux Falls, SD 57105-1016

Phone

(605) 322-2754

Fax

(605) 322-2727

NPI assigned

Jun 7, 2007

Last updated

Mar 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera Queen of PeaceGroup PAC ID 9335050806, shared by 12 NPIs, 122 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Avera Queen of Peace

  dba AMG Hospitalists Mitchell

  • Hospitalist Physician
  • Mitchell, SD
  • NPI 1205359031
  Medicare reassignment NPD
• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Medicare reassignment NPD
• Ophthalmology LTD Eye Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Sioux Falls, SD
  • NPI 1871581876
  Medicare reassignment NPD
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  dba Avera McKennan Hospital CRNA

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1568662872

  Nurse Anesthetist, Certified Registered

  NPD
• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Rural Acute Care Hospital
  • Mitchell, SD
  • NPI 1154324507

  Nurse Anesthetist, Certified Registered

  NPD
• Avera Queen of Peace

  dba Avera Weskota Memorial Medical Center

  • Critical Access Hospital
  • Wessington Springs, SD
  • NPI 1316942204
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1013110972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "address_2": "ANESTHESIA DEPT.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-2754",
            "fax_number": "605-322-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "SD CRNA  CR000668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF SD",
            "identifier": "4993054",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUECROSS BS",
            "identifier": "7I390LY",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46022474348",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9251735",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luya Counseling, LLC
• Jonah Hamblin Luzier, MD
• LW Care LLC (Live Well Home Care)
• Brittany Marie Lyle
• Janette Therese Lyle
• William J Lyle, CRNA
• Olivia Lyman, RBT
• Lymphedema Therapy Specialists
• Lyn Shroyer, Inc
• Douglas William Lynch, M.D.

• Certified Registered Nurse Anesthetist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.