NPIMap

Individual provider Active NPI

Kellie Lyons, PA

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1215451950
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005092 Issued in CO
Practice address
8510 Bryant St Ste 200
Westminster, CO 80031-3845
Phone
(303) 650-4460
Fax
(720) 206-0434
NPI assigned
Aug 2, 2017
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005092 CO Primary

Addresses

Primary practice location

8510 Bryant St Ste 200
Westminster, CO 80031-3845

Mailing address

8510 Bryant St Ste 200
Westminster, CO 80031-3845
Phone (303) 665-3036

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KELLIE.LYONS@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170825000126 CO Practitioner - Physician Assistant 6103198130 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Broomfield, CO 80021
Phone (720) 807-4461

15389 W 91St Dr
Arvada, CO 80007-1400

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 1, 2025 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Aug 14, 2017 Accepting new patients
Clinica Campesina Family Health Services CurrentSince Aug 14, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 1, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC PastSince Oct 24, 2021 Accepting new patients

Locations

15389 W 91st Dr
Ste 100
Arvada, CO 80007
Phone (303) 603-9300

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

Interoperability endpoints

  • Direct secure messaging: kellie.lyons.1@24472.direct.athenahealth.com
  • Direct secure messaging: kellie.lyons@hca3.eclinicaldirectplus.com

Organizations & group practices 9

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 5

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1215451950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 BRYANT ST STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313845",
            "telephone_number": "303-665-3036",
            "fax_number": "720-206-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 BRYANT ST STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313845",
            "telephone_number": "303-650-4460",
            "fax_number": "720-206-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KELLIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KELLIE.LYONS@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8510 Bryant St Ste 200",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800313845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.