Individual provider Active NPI

Jennifer E Lyons

  • Family Nurse Practitioner
  • Allegany, NY
National Provider Identifier
1073234092
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349123-01 Issued in NY
Practice address
2178 N 5TH St
Allegany, NY 14706-1138
Phone
(716) 373-2238
NPI assigned
Sep 7, 2022
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 721156-01 NY
Family Nurse Practitioner 363LF0000X F349123-01 NY Primary

Addresses

Primary practice location

2178 N 5TH St
Allegany, NY 14706-1138

Mailing address

1379 Masten Rd
Hinsdale, NY 14743-9710
Phone (716) 378-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250114000440 NY Practitioner - Nurse Practitioner 7911354139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegany Family Medicine PLLCGroup PAC ID 6709122807, 3 clinicians

Practice addresses (Care Compare)

2430 Constitution Ave
Olean, NY 14760-1840
Phone (716) 373-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
721156-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Family Medicine PLLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

2430 Constitution Ave
Olean, NY 14760
Phone (716) 373-0700

Interoperability endpoints

  • Direct secure messaging: jenniferlyonsfnp@alleganyfammed.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1073234092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 MASTEN RD",
            "city": "HINSDALE",
            "state": "NY",
            "postal_code": "147439710",
            "telephone_number": "716-378-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 N 5TH ST",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061138",
            "telephone_number": "716-373-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "721156-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349123-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegany, NY

Sources for this page

Verify at the official NPI Registry.