Individual provider Active NPI

Fiona Yu Lysse

  • Adult Health Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1790488104
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN246279 Issued in GA
Practice address
1220 George C Wilson Dr
Augusta, GA 30909-4501
Phone
(706) 736-1830
NPI assigned
Mar 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN246279 GA Primary

Addresses

Primary practice location

1220 George C Wilson Dr
Augusta, GA 30909-4501

Mailing address

3696 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 736-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230530002275 GA Practitioner - Nurse Practitioner 8820455215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN246279GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Oncology Associates PC CurrentSince Apr 17, 2023 Accepting new patients
Augusta ENT PC CurrentSince Oct 16, 2023 Accepting new patients
Augusta ENT PC CurrentSince Oct 16, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jun 1, 2024 Accepting new patients
Augusta Oncology Associates PC CurrentSince Apr 17, 2023 Accepting new patients

Locations

3696 Wheeler Rd
Augusta, GA 30909
Phone (706) 736-1830

1220 George C Wilson Dr
Augusta, GA 30909
Phone (706) 941-8206

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

1303 Dantignac St
Ste 1000
Augusta, GA 30901
Phone (706) 736-1830

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

720 Saint Sebastian Way
Ste 201
Augusta, GA 30901
Phone (478) 746-7577

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

804 Scott Nixon Memorial Dr
Martinez, GA 30907

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1790488104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-736-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GEORGE C WILSON DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094501",
            "telephone_number": "706-736-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSSE",
        "first_name": "FIONA",
        "middle_name": "YU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN246279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.