NPIMap

Individual provider Active NPI

Jillian Lyle, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Du Bois, PA
National Provider Identifier
1295597458
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028994 Issued in PA
Practice address
621 S Main St
Du Bois, PA 15801-1413
Phone
(814) 299-7520
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 SP028994 PA Primary

Addresses

Primary practice location

621 S Main St
Du Bois, PA 15801-1413

Mailing address

PO Box 55
Limestone, PA 16234-0055

Other practice location 1

108 E Pinnacle Dr
Clarion, PA 16214-3817
Phone (844) 456-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240517000181 PA Practitioner - Nurse Practitioner 0840631107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Brookville HospitalGroup PAC ID 3072579598, 45 clinicians

Practice addresses (Care Compare)

621 S Main St
Penn Highlands Q Care Dubois
Dubois, PA 15801-1413
Phone (814) 299-7520

88 Hospital Rd
Brookville, PA 15825-1368
Phone (814) 849-1874

Hospital & facility affiliations

  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Brookville Hospital CurrentSince Sep 18, 2025 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital CurrentSince Sep 18, 2025 Accepting new patients
Brookville Hospital Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

88 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1874

265 Holiday Inn Rd
#Q
Clarion, PA 16214
Phone (814) 297-8848

265 Holiday Inn Rd
Clarion, PA 16214
Phone (814) 297-8848

621 S Main St
Dubois, PA 15801
Phone (814) 299-7520

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

621 S Main St
#Q
Dubois, PA 15801
Phone (814) 299-7520

21911 Route 119
Punxsutawney, PA 15767
Phone (814) 249-7410

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1295597458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "LIMESTONE",
            "state": "PA",
            "postal_code": "162340055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011413",
            "telephone_number": "814-299-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E Pinnacle Dr",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162143817",
            "country_code": "US",
            "telephone_number": "844-456-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "JILLIAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.