Individual provider Active NPI

Lydia Kay Pyle, FNP

  • Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1699094037
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-10159 Issued in CO
Practice address
5881 W 16TH St
Greeley, CO 80634-2910
Phone
(970) 313-2700
Fax
(970) 313-2727
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-10159 CO
Nurse Practitioner 363L00000X NP-10159 CO Primary
Registered Nurse 163W00000X RN-172700 CO

Addresses

Primary practice location

5881 W 16TH St
Greeley, CO 80634-2910

Mailing address

5881 W 16TH St
Greeley, CO 80634-2910
Phone (970) 313-2700

Other identifiers 1

IdentifierTypeStateIssuer
79072372MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120712000336 CO Practitioner - Nurse Practitioner 3577728864 Reassigns benefits to 1 organization
I20251126001317 NE Practitioner - Nurse Practitioner 3577728864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Drew Health Center IncGroup PAC ID 9830170653, 13 clinicians

Practice addresses (Care Compare)

2915 Grant St
Omaha, NE 68111-3863
Phone (402) 457-1200

5920 Maple St
Omaha, NE 68104-4102
Phone (402) 457-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-172700COMDRegistered Nurse
NP-10159COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Drew Health Center, Inc CurrentSince Sep 21, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 30, 2012 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Apr 30, 2012 Accepting new patients
Charles Drew Health Center, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Charles Drew Health Center Inc PastSince May 25, 2021 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 313-2700

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

5881 W 16th St
Greeley, CO 80634
Phone (970) 313-2700

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

5904 Henniger Ave
Omaha, NE 68183
Phone (402) 444-4231

2915 Grant St
Omaha, NE 68111
Phone (402) 451-3553

Interoperability endpoints

  • Direct secure messaging: lydia.pyle.p1@direct.charlesdrew.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1699094037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "970-313-2700",
            "fax_number": "970-313-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "970-313-2700",
            "fax_number": "970-313-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "LYDIA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-10159",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "NP-10159",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN-172700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79072372",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.