Active NPI
Tracy Lyons, DC
- Chiropractor
- Plymouth, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3187
- Practice address
- 825 Walton Dr
Plymouth, WI 53073-5022 - Phone
- (920) 892-4322
- NPI assigned
- Nov 1, 2006
- Last updated
- Apr 1, 2013
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3187 | WI | Primary |
Addresses
Primary practice location
825 Walton Dr
Plymouth, WI 53073-5022
Mailing address
825 Walton Dr
Plymouth, WI 53073-5022
Phone (920) 892-4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38887000 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300
950 Woodlake Rd
Kohler, WI 53044-1348
Phone (920) 783-3150
PO Box
Suite 19070
Green Bay, WI 54307-9070
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Columbia St Mary's Hospital Ozaukee, Inc. | Past | Accepting new patients |
Locations
950 Woodlake Rd
Kohler, WI 53044
Phone (920) 783-3150
825 Walton Dr
Plymouth, WI 53073
Phone (920) 889-0302
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
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.
-
dba Prevea Sheboygan Health Center
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
-
dba St Nicholas Hospital Professional Services Group
- Nurse Practitioner
- Sheboygan, WI
- NPI 1275943243
-
dba St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1376582775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1679650097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 WALTON DR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530735022",
"telephone_number": "920-892-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 WALTON DR",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530735022",
"telephone_number": "920-892-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "TRACY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38887000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.