Nicole Marie Lyons, DNP, AGNP-C,PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP5672 Issued in AZ

Practice address

3271 E Queen Creek Rd Ste 101
Gilbert, AZ 85297-8511

Phone

(480) 550-3193

NPI assigned

Jul 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psa Behavioral Health AgencyGroup PAC ID 6305017245, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

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 and National Provider Directory roles.

• Resilient Health, Inc.

  dba Resilient Health

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1285150896
  Medicare reassignment Care Compare group NPD
• Resilient Health, Inc.

  dba Resilient Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1790267011
  NPD
• Resilient Health, Inc.

  dba Resilient Health

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1881680452
  NPD
• Resilient Health, Inc.

  dba Resilient Health

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1255841995
  NPD (past)

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1093121600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4981 S SOHO LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852491820",
            "telephone_number": "480-335-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 E QUEEN CREEK RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978511",
            "telephone_number": "480-550-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "DNP, AGNP-C,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5672",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "929811",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nichole Rayleen Lynch, LMSW-21761
• Diana Lynn, RBT
• Katie Lynn, MS, RD
• Jesse Thomas Lyon, PA
• Katie Lyon
• Lyter Minds, LLC
• Rebekah Jo Lyts
• M & a Robertson Corporation (Caring Senior Service)
• M & J Inc. (USA Physical Therapy)
• M L Reardon MSW LCSW LLC

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.