Active NPI
Nicholas Fay Lynn, PA-C
- Medical Physician Assistant
- Monticello, IA
National Provider Identifier
1679073241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 740 E Oak St
Monticello, IA 52310-1745 - Phone
- (319) 465-6702
- NPI assigned
- Feb 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
740 E Oak St
Monticello, IA 52310-1745
Mailing address
2381 Gordon Dr
Dubuque, IA 52001-8413
Phone (563) 590-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current | Accepting new patients | |
| St Luke'S Jones Regional Medical Center | Current | Accepting new patients |
Locations
1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161
1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291
740 E Oak St
Monticello, IA 52310
Phone (319) 364-7101
Interoperability endpoints
- nlynn615904@direct.unitypoint.org
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Anamosa, IA
- NPI 1942397328
-
- Rural Health Clinic/Center
- Anamosa, IA
- NPI 1275015208
-
- Community/Retail Pharmacy
- Anamosa, IA
- NPI 1932740024
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1679073241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2381 GORDON DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520018413",
"telephone_number": "563-590-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 E OAK ST",
"city": "MONTICELLO",
"state": "IA",
"postal_code": "523101745",
"telephone_number": "319-465-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "NICHOLAS",
"middle_name": "FAY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.