Individual provider Active NPI

Courtney Marie Lyons, RN, FNP

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1659049179
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2291387 Issued in MA
Practice address
66 Lewis Bay Rd
Hyannis, MA 02601-5210
Phone
(508) 771-1800
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 2291387 MA Primary

Addresses

Primary practice location

66 Lewis Bay Rd
Hyannis, MA 02601-5210

Mailing address

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

Other identifiers 1

IdentifierTypeStateIssuer
2291387OtherMACNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20211013002143 MA Practitioner - Nurse Practitioner 0749688281 Reassigns benefits to 1 organization
I20231129001395 DC Practitioner - Nurse Practitioner 0749688281 Reassigns benefits to 2 organizations
I20240103004513 VA Practitioner - Nurse Practitioner 0749688281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Jan Sebastian Dr
Suite 101
Sandwich, MA 02563-2377
Phone (508) 833-2639

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2291387MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Ucc LLC CurrentSince Nov 13, 2023 Accepting new patients
Inova Physician Partners, LLC CurrentSince Feb 21, 2025 Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Cape Cod Healthcare, Inc PastSince Sep 5, 2021 Accepting new patients

Locations

6355 Walker Ln
Ste 500
Alexandria, VA 22310
Phone (703) 373-3718

4600 Cherry Hill Rd
Arlington, VA 22207
Phone (571) 977-5274

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

6565 Arlington Blvd
Ste 500
Falls Church, VA 22042
Phone (703) 396-6194

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Organizations & group practices 5

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 2

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1659049179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015230",
            "telephone_number": "508-771-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEWIS BAY RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015210",
            "telephone_number": "508-771-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2291387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNP LICENSE",
            "identifier": "2291387",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.