Active NPI
Pamela Mae Lyon, NP
- Nurse Practitioner
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- CNP221519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNP221519 | ME | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bucksport Regional Health Center | Current | Accepting new patients | |
| Galileo Medical Group Me, PC | Current | Accepting new patients | |
| Bucksport Regional Health Center | Current | 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
- 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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- Federally Qualified Health Center (FQHC)
- Bucksport, ME
- NPI 1043271133
-
dba BRHC Coastal Pharmacy
- Community/Retail Pharmacy
- Bucksport, ME
- NPI 1194561837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.