Individual provider Active NPI

Pamela Mae Lyon, NP

  • Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1942953559
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP221519 Issued in ME
Practice address
149 North St
Waterville, ME 04901-4974
Phone
(207) 873-1098
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP221519 ME Primary

Addresses

Primary practice location

149 North St
Waterville, ME 04901-4974

Mailing address

110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371

Other practice location 1

110 Broadway
Bucksport, ME 04416-4612
Phone (207) 469-7371

Other practice location 2

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (207) 249-6959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240202001970 ME Practitioner - Nurse Practitioner 9234526989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

149 N St
Waterville, ME 04901
Phone (207) 872-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP221519MEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bucksport Regional Health Center CurrentSince Jan 23, 2024 Accepting new patients
Galileo Medical Group Me, PC CurrentSince Jan 15, 2024 Accepting new patients
Bucksport Regional Health Center CurrentSince Jan 23, 2024 Accepting new patients

Locations

700 Main St
Ste 3
Bangor, ME 04401
Phone (207) 659-8366

110 Broadway
Bucksport, ME 04416
Phone (207) 469-7371

37 Commerce Park
Ellsworth, ME 04605
Phone (207) 667-2422

436 Main St
Presque Isle, ME 04769
Phone (347) 933-6246

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18871/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1942953559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BROADWAY",
            "city": "BUCKSPORT",
            "state": "ME",
            "postal_code": "044164612",
            "telephone_number": "207-469-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-873-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bucksport",
            "state": "ME",
            "postal_code": "044164612",
            "country_code": "US",
            "telephone_number": "207-469-7371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016800",
            "country_code": "US",
            "telephone_number": "207-249-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "PAMELA",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ME",
            "license": "CNP221519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.