Individual provider Active NPI

Mary E Lyster, MD

  • Family Medicine Physician
  • Raymond, NH
National Provider Identifier
1790715654
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38126 Issued in NH
Practice address
128 Route 27
Raymond, NH 03077-1220
Phone
(603) 883-1626
NPI assigned
Jul 4, 2006
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD07115 RI
Family Medicine Physician 207Q00000X 38126 NH Primary

Addresses

Primary practice location

128 Route 27
Raymond, NH 03077-1220

Mailing address

207 S Main St
Newmarket, NH 03857-1835
Phone (603) 292-7292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040624000027 RI Practitioner - Family Practice 2365427101 Reassigns benefits to 2 organizations
I20260421000295 NH Practitioner - Family Practice 2365427101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamprey Health Care IncGroup PAC ID 3577535319, 52 clinicians

Practice addresses (Care Compare)

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

22 Prospect St
Nashua, NH 03060-3924
Phone (603) 883-1626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38126NHMDFamily Medicine Physician
MD07115RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - Ri Physicians Group, PC Family Medicine CurrentSince Nov 8, 2021 Accepting new patients
Narragansett Indian Tribe CurrentSince May 9, 2016 Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients
Narragansett Indian Health Center Past Accepting new patients

Locations

4533 S County Trl
Charlestown, RI 02813
Phone (401) 364-1268

51 Old Mill Rd
Charlestown, RI 02813
Phone (401) 364-1263

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

2000 Diamond Hill Rd
Ste 18
Woonsocket, RI 02895
Phone (401) 470-7116

Interoperability endpoints

  • Direct secure messaging: mary.lyster.1@28541.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1790715654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571835",
            "telephone_number": "603-292-7292",
            "fax_number": "603-292-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-883-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSTER",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD07115",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "38126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.