Individual provider Active NPI

Erica C Lyden, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Stroudsburg, PA
National Provider Identifier
1073197786
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP023455 Issued in PA
Practice address
18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630
Phone
(570) 213-9133
Fax
(570) 209-8806
NPI assigned
May 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP023455 PA Primary

Addresses

Primary practice location

18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630

Mailing address

18 S 9TH St Ste 107
Stroudsburg, PA 18360-1630
Phone (570) 213-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915001092 PA Practitioner - Nurse Practitioner 9133525298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

814 Monroe St
Suite 201
Stroudsburg, PA 18360-1745
Phone (570) 213-9133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Peace Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Premier Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients

Locations

814 Monroe St
Ste 201
Stroudsburg, PA 18360
Phone (570) 213-9133

18 S 9th St
Ste 107
Stroudsburg, PA 18360
Phone (570) 213-9133

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1073197786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 S 9TH ST STE 107",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601630",
            "telephone_number": "570-213-9133",
            "fax_number": "570-209-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 S 9TH ST STE 107",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601630",
            "telephone_number": "570-213-9133",
            "fax_number": "570-209-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDEN",
        "first_name": "ERICA",
        "middle_name": "C",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP023455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.