Individual provider Active NPI

Lisa Tylus, AGNP-C

  • Nurse Practitioner
  • Chelmsford, MA
National Provider Identifier
1316323751
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN270127 Issued in MA
Practice address
290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone
(978) 685-2460
NPI assigned
Aug 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN270127 MA Primary

Addresses

Primary practice location

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429

Mailing address

290 Littleton Rd Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151030001947 MA Practitioner - Nurse Practitioner 5799095956 Reassigns benefits to 2 organizations
I20260430000771 NH Practitioner - Nurse Practitioner 5799095956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence General Community Medical Service PLLCGroup PAC ID 4486941473, 53 clinicians
New England Community Medical Services PLLCGroup PAC ID 8628102928, 53 clinicians

Practice addresses (Care Compare)

23 Geremonty Dr
Salem, NH 03079-3314
Phone (978) 685-2460

290 Littleton Rd
Unit 3
Chelmsford, MA 01824-3429
Phone (978) 685-2460

Hospital & facility affiliations

  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN270127MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence General Community Medical Service PLLC CurrentSince May 1, 2023 Accepting new patients
Anna Jaques Inpatient Specialists PLLC CurrentSince May 1, 2022 Accepting new patients
New England Community Medical Services PLLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

23 Geremonty Dr
Salem, NH 03079
Phone (603) 893-5586

1 Harbison Way
Ste 222
Columbia, SC 29212

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1438992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1316323751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LITTLETON RD UNIT 3",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243429",
            "telephone_number": "978-685-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLUS",
        "first_name": "LISA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-08",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN270127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.