Individual provider Active NPI

Rachel Diane Lyle, APRN

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1679976179
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004190 Issued in AR
Practice address
2108 S 54TH St Ste 1
Rogers, AR 72758-8125
Phone
(479) 396-5200
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 A004190 AR Primary

Addresses

Primary practice location

2108 S 54TH St Ste 1
Rogers, AR 72758-8125

Mailing address

6912 S Quentin St Ste 50
Centennial, CO 80112-4531
Phone (501) 686-8711

Other practice location 1

2270 Garden Of The Gods Rd Ste 103
Colorado Springs, CO 80907-9440
Phone (720) 456-3989

Other practice location 2

7307 S Revere Pkwy Ste 201
Centennial, CO 80112-3931
Phone (720) 456-3989

Other practice location 3

680 W 121st Ave Ste 110
Westminster, CO 80234-4223
Phone (720) 595-2089

Other practice location 4

7898 E Acoma Dr Ste 106
Scottsdale, AZ 85260-3480
Phone (480) 573-5165

Other practice location 5

1925 W Orange Grove Rd Ste 105
Tucson, AZ 85704-1150
Phone (520) 526-9699

Other practice location 6

3447 Pine Ridge Rd Ste 101
Naples, FL 34109-3927
Phone (239) 533-5700

Other practice location 7

805 N Whittington Pkwy Ste 400
Louisville, KY 40222-7102
Phone (502) 627-7100

Other practice location 8

5111 Ehrlich Rd Ste 100
Tampa, FL 33624-2075
Phone (239) 533-5700

Other practice location 9

6500 S Dixie Hwy Ste C
West Palm Beach, FL 33405-4416
Phone (239) 533-5700

Other practice location 10

5058 Conway Rd
Orlando, FL 32812-1258
Phone (239) 533-5770

Other practice location 11

11300 Lindbergh Blvd Ste 107A
Fort Myers, FL 33913-8827
Phone (239) 533-5770

Other practice location 12

7710 NW 71st Ct Ste 205
Tamarac, FL 33321-2931
Phone (239) 533-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CO, FL3 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
I20141211000089 AR Practitioner - Nurse Practitioner 1456673979 Reassigns benefits to 1 organization
I20220906000431 CO Practitioner - Nurse Practitioner 1456673979 Reassigns benefits to 1 organization
I20240321000270 FL Practitioner - Nurse Practitioner 1456673979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mosaic Infusion Solutions LLCGroup PAC ID 3173859147, 9 clinicians

Practice addresses (Care Compare)

7307 S Revere Pkwy
Suite 201
Centennial, CO 80112-3931
Phone (720) 456-3989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004190ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Infusion Solutions LLC Current Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Aug 19, 2022 Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Dec 15, 2021 Accepting new patients
Eventus Infusion LLC CurrentSince Mar 7, 2024 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

2108 S 54th St
Ste 1
Rogers, AR 72758
Phone (479) 396-5200

7898 E Acoma Dr
Ste 106
Scottsdale, AZ 85260
Phone (480) 571-6721

1925 W Orange Grove Rd
Ste 105
Tucson, AZ 85704
Phone (520) 229-8878

7307 S Revere Pkwy
Ste 201
Centennial, CO 80112
Phone (720) 456-3989

2270 Garden of the Gods Rd
Ste 103
Colorado Springs, CO 80907
Phone (719) 785-1378

6912 S Quentin St
Ste 50
Englewood, CO 80112

680 W 121st Ave
Ste 110
Westminster, CO 80234
Phone (208) 640-6096

11300 Lindbergh Blvd
Ste 107A
Fort Myers, FL 33913
Phone (239) 204-5984

3447 Pine Ridge Rd
Ste 101
Naples, FL 34109
Phone (239) 206-2880

5058 Conway Rd
Orlando, FL 32812
Phone (407) 401-2690

7710 NW 71st Ct
Ste 205
Tamarac, FL 33321
Phone (954) 376-7330

5111 Ehrlich Rd
Ste 110
Tampa, FL 33624
Phone (239) 533-5770

8039 Cooper Creek Blvd
Ste 106
University Park, FL 34201
Phone (239) 533-5770

6500 S Dixie Hwy
Ste C
West Palm Beach, FL 33405
Phone (239) 533-5770

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1679976179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 S QUENTIN ST STE 50",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124531",
            "telephone_number": "501-686-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S 54TH ST STE 1",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588125",
            "telephone_number": "479-396-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2270 Garden Of The Gods Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809079440",
            "country_code": "US",
            "telephone_number": "720-456-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7307 S Revere Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123931",
            "country_code": "US",
            "telephone_number": "720-456-3989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W 121st Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802344223",
            "country_code": "US",
            "telephone_number": "720-595-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7898 E Acoma Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852603480",
            "country_code": "US",
            "telephone_number": "480-573-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 W Orange Grove Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041150",
            "country_code": "US",
            "telephone_number": "520-526-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3447 Pine Ridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341093927",
            "country_code": "US",
            "telephone_number": "239-533-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 N Whittington Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402227102",
            "country_code": "US",
            "telephone_number": "502-627-7100",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5111 Ehrlich Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242075",
            "country_code": "US",
            "telephone_number": "239-533-5700",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 S Dixie Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334054416",
            "country_code": "US",
            "telephone_number": "239-533-5700",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5058 Conway Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328121258",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Lindbergh Blvd Ste 107A",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339138827",
            "country_code": "US",
            "telephone_number": "239-533-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7710 NW 71st Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333212931",
            "country_code": "US",
            "telephone_number": "239-533-5700",
            "fax_number": "844-465-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "RACHEL",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.