Individual provider Active NPI

Alexandra Lee Lyons, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1235889205
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279596 Issued in AZ
Practice address
5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849
Phone
(480) 894-2823
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 279596 AZ Primary
Registered Nurse 163W00000X RN167130 AZ
Family Nurse Practitioner 363LF0000X 10059524 OR

Addresses

Primary practice location

5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849

Mailing address

5030 S Mill Ave Ste D12
Tempe, AZ 85282-6849
Phone (480) 894-2823

Other practice location 1

1302 NE 3rd St
Bend, OR 97701-4333
Phone (541) 398-7524

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220927002290 AZ Practitioner - Nurse Practitioner 1355727462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Group LLCGroup PAC ID 9335132604, 14 clinicians

Practice addresses (Care Compare)

5030 S Mill Ave
Suite D12
Tempe, AZ 85282-6849
Phone (480) 894-2823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN167130AZMDRegistered Nurse
10059524ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group, LLC CurrentSince Aug 18, 2022 Accepting new patients
Ana M Sierra de Aragon MD Past Accepting new patients

Locations

5005 S Ash Ave
Ste A-2
Tempe, AZ 85282
Phone (602) 833-6585

5030 S Mill Ave
Ste D12
Tempe, AZ 85282
Phone (480) 894-2823

Organizations & group practices 2

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": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1235889205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE STE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826849",
            "telephone_number": "480-894-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE STE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826849",
            "telephone_number": "480-894-2823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 NE 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014333",
            "country_code": "US",
            "telephone_number": "541-398-7524",
            "fax_number": "541-398-7528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ALEXANDRA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279596",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN167130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10059524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.