Individual provider Active NPI

Tracy Ann Lyou, FNP

  • Family Nurse Practitioner
  • Ventura, CA
National Provider Identifier
1164766291
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21535 Issued in CA
Practice address
168 N Brent St
Suite 502
Ventura, CA 93003-2817
Phone
(805) 641-2000
Fax
(805) 641-5631
NPI assigned
Nov 15, 2012
Last updated
Feb 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21535 CA Primary

Addresses

Primary practice location

168 N Brent St
Suite 502
Ventura, CA 93003-2817

Mailing address

168 N Brent St
Suite 502
Ventura, CA 93003-2817
Phone (805) 641-2000

Other identifiers 1

IdentifierTypeStateIssuer
NP21535OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150707000102 CA Practitioner - Nurse Practitioner 0446562300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 350
Oxnard, CA 93030-7627
Phone (805) 485-7877

400 E Santa Barbara St
Suite a
Santa Paula, CA 93060-2675
Phone (805) 525-2121

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21535CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients

Locations

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

243 March St
Santa Paula, CA 93060
Phone (805) 525-6112

168 N Brent St
Ste 502
Ventura, CA 93003
Phone (805) 641-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1164766291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 502",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-641-2000",
            "fax_number": "805-641-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 502",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-641-2000",
            "fax_number": "805-641-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYOU",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "NP21535",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.