Rebecca Jane Lyle, CNM, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8605-33 Issued in WI

Practice address

407 S Main St Ste 400
Viroqua, WI 54665-4000

Phone

(608) 637-3174

Fax

(608) 638-5038

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Rebecca Jane Palmer Former name

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

Practice roles

Locations

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.

• Vernon Memorial Healthcare, Inc

  • Rural Health Clinic/Center
  • Viroqua, WI
  • NPI 1144226507
  Medicare reassignment NPD
• Providence Health & Services Oregon

  • Critical Access Hospital
  • Seaside, OR
  • NPI 1578500492
  NPD
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1770063547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST STE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654000",
            "telephone_number": "608-637-3174",
            "fax_number": "608-638-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S MAIN ST STE 400",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546654000",
            "telephone_number": "608-637-3174",
            "fax_number": "608-638-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLE",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "CNM, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8605-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PALMER",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "CNM, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Loebertman
• Longview Home for Boys
• Jonah Bingham King Lottig, MS RCEP
• Ash Lyke, APSW
• Brian Andrew Lyle, MD
• Anthony Macasaet, M.D.
• Eli Mandel, LPC-IT
• Andrew J Manspeaker, M.D.
• Melanie Martinez, CPM, LM
• Sara Elizabeth Martinez, RN

• Nurse Practitioner in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.

Verify at the official NPI Registry.