Wesley Corliss Lyons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

099516 Issued in IA

Practice address

502 N 9TH Ave
Vinton, IA 52349-2254

Phone

(319) 472-6200

NPI assigned

Jan 14, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA, DC2 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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wlyons@vghinc.com
• Direct secure messaging: wlyons662227@direct.unitypoint.org

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Heart Institute LLC

  • Surgery Physician
  • Washington, DC
  • NPI 1528345378
  Medicare reassignment Care Compare group
• East Central Iowa Acute Care, PLLC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1386611291
  Medicare reassignment
• Van Buren County Hospital

  • Emergency Medicine Physician
  • Keosauqua, IA
  • NPI 1316063076
  Medicare reassignment
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
  • NPI 1598844037
  NPD
• Medstar Medical Group II LLC

  dba MMG Emergency Medicine Cfnrg

  • Emergency Medical Services (Emergency Medicine) Physician
  • Washington, DC
  • NPI 1558189712
  NPD
• Van Buren County Hospital

  dba Farmington Medical Clinic

  • Rural Health Clinic/Center
  • Farmington, IA
  • NPI 1992875678
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

• Washington Hospital Center Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1346880697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BROOK RIDGE AVE",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178086",
            "telephone_number": "319-361-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523492254",
            "telephone_number": "319-472-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2591 Holiday Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522413039",
            "country_code": "US",
            "telephone_number": "319-384-9010",
            "fax_number": "319-335-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "WESLEY",
        "middle_name": "CORLISS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "099516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wlyons@vghinc.com",
            "affiliation": "N",
            "endpointDescription": "Virginia Gay Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "502 N 9th Ave",
            "city": "Vinton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523492254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monica Leborious, MA, CCC-SLP
• Brendan Dean Leiran, PA-C
• Lutheran Home for the Aged Association-East (Lutheran Home Health Agency)
• Lutheran Home for the Aged Association-East (Vinton Lutheran Home)
• Kristin Lutz, PTA
• Margaret K Mangold, M.D.
• Lisa Ann Marter, OTR/L
• Martin Eye Clinic Inc (Martin Eye Clinic)
• Michael G Martin, OD
• Kelli Marie McClintock, COTA/L

• Physician Assistant in Vinton, IA
• Providers in Vinton, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.