Individual provider Active NPI

Jaclyn Bronson Lyon, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1437384781
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01816 Issued in NC
Practice address
5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone
(828) 274-6000
Fax
(828) 274-6025
NPI assigned
May 15, 2009
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 0010-01816 NC Primary

Addresses

Primary practice location

5 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

PO Box 602381
Charlotte, NC 28260-2381

Other names 1

  • Ms. Jaclyn Ruth Bronson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jaclynlyonpa@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090711000024 NC Practitioner - Physician Assistant 2163574732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

2000 Health Park Dr
Brentwood, TN 37027-4692

5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

89 Medical Park Dr
Suite C
Brevard, NC 28712-3118
Phone (828) 213-1740

9 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 213-1740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-01816NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Medical Associates, Inc CurrentSince Mar 20, 2017 Accepting new patients
Asheville Cardiology Associates Past Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients
MMH-Cor Enterprises IV LLC Past Accepting new patients

Locations

5 Vanderbilt Park Dr
Asheville, NC 28803

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

89 Medical Park Dr
Ste C
Brevard, NC 28712
Phone (828) 883-2131

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

Interoperability endpoints

  • Direct secure messaging: jaclynlyonpa@direct.msj.org

Organizations & group practices 7

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 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": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1437384781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602381",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-274-6000",
            "fax_number": "828-274-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JACLYN",
        "middle_name": "BRONSON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaclynlyonpa@Direct.msj.org",
            "affiliation": "N",
            "address_1": "5 Vanderbilt Park Dr",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288031700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "BRONSON",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.