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Active NPI 1376168336 Individual Practitioner Female Practitioner

Lyda Erin Nicodemus , ARNP

Nurse Practitioner • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Lyda Nicodemus, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Spokane, WA. Practice services are available at 9631 N NEVADA ST STE 300 under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9631 N Nevada St Ste 300

Spokane, WA 992181193

Telephone 5094653919
Fax 5097950895
Associated Practice Facility / Clinic
🏢 Daniel T. Yang Md Pllc Facility NPI 1134301989

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
191 Specialists

Practicing in Spokane, WA (2339 Statewide)

Telehealth Adoption Rate
13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
99 52 $361.79 $98.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
47 32 $240.70 $65.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
33 29 $546.00 $144.73
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
15 13 $46.00 $13.75
94618 Test for exercise-induced lung stress
11 11 $103.00 $28.90

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61025822

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Hyung Park , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1023044187

Doctor of Medicine (M.D.)

Dr. Thomas Decato , MD

Internal Medicine - Pulmonary Disease

NPI 1043535370

Doctor of Medicine (M.D.)

Michael Mandziara , PA

Physician Assistant

NPI 1245632165

Physician Assistant

Dr. Azmina Zieman , MD

Internal Medicine

NPI 1265895023

Doctor of Medicine (M.D.)

NPI 1295063683

NURSEPRACTITIONER

Jamie Taylor , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1447708649

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location September 14, 2021

Registered at 9631 N NEVADA ST STE 300, SPOKANE, WA 992181193 (Tel: 5094653919)

NPI Profile Active June 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2020

Registered at 610 S SHERMAN ST STE 201, SPOKANE, WA 992021342 (Tel: 5094730885)

📍
Updated Business Mailing Address June 18, 2020

Registered at 601 S SHERMAN ST # 201, SPOKANE, WA 992021311 (Tel: 5094730885)

👤
Provider Name / Credentials Updated June 18, 2020

Recorded as LYDA NICODEMUS, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2020

Nurse Practitioner (License #AP61025822 in WA)

🟢
Initial NPI Registration & Enumeration June 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376168336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2020
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

601 S Sherman St # 201

Spokane, WA 992021311

Phone: 5094730885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.