Individual provider Active NPI

Mechelle Lyles, MSN, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1609303411
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2009006067 Issued in MO
Practice address
7711 Carondelet Ave
Saint Louis, MO 63105-3313
Phone
(314) 727-2273
Fax
(314) 862-1463
NPI assigned
May 11, 2017
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X 2009006067 MO Primary

Addresses

Primary practice location

7711 Carondelet Ave
Saint Louis, MO 63105-3313

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

14121 Parke Long Ct Ste 201
Chantilly, VA 20151-1647
Phone (855) 247-1940

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mlyles19381@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180417000113 MO Practitioner - Nurse Practitioner 7315200847 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009006067MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Mar 13, 2023 Accepting new patients
SSM Health Care St. Louis CurrentSince Mar 13, 2023 Accepting new patients
Marathon Health, LLC CurrentSince Mar 30, 2025 Accepting new patients
Drynachan LLC PastSince Nov 14, 2017 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

14021 New Halls Ferry Rd
Ste A
Florissant, MO 63033
Phone (314) 447-2985

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

7711 Carondelet Ave
Saint Louis, MO 63105
Phone (314) 727-2273

Interoperability endpoints

  • Direct secure messaging: mechelle.lyles.1@14940.direct.athenahealth.com
  • Direct secure messaging: mechelle.lyles@abj.directbygreenway.com
  • Direct secure messaging: mlyles19381@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1609303411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 CARONDELET AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053313",
            "telephone_number": "314-727-2273",
            "fax_number": "314-862-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "855-247-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLES",
        "first_name": "MECHELLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2009006067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlyles19381@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mlyles19381@direct-ehr-ssmhc.com",
            "address_1": "14021 New Halls Ferry Rd Ste A",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630332764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "14021 New Halls Ferry Rd Ste A",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630332764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.