Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669419289 Individual Practitioner Female Practitioner

Dr. Jennifer Lyons , MD

Pediatrics • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Lyons, MD is a registered healthcare professional specializing in Pediatrics in Vancouver, WA. Practice services are available at 700 NE 87TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 Ne 87th Ave

Vancouver, WA 986641913

Telephone 3603971500
Fax 3603973128
Associated Practice Facility / Clinic
🏢 The Vancouver Clinic Inc Ps Facility NPI 1992759427

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
72 Specialists

Practicing in Vancouver, WA (1802 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% 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 (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
77 77 $127.00 $40.31

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00043301

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8397341 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Susan Arnold-Edgar , PA-C

Physician Assistant

NPI 1023057817

Physician Assistant (Certified)

Wendy Latta , PT

Physical Therapist

NPI 1023065596

Physical Therapist

Wendee Heriford , LMP

Massage Therapist

NPI 1033279856

Licensed Massage Practitioner

NPI 1043257389

Doctor of Medicine (M.D.)

NPI 1043257694

Doctor of Medicine (M.D.)

Dr. Richard Rytting , MD

Internal Medicine

NPI 1043264674

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2008

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986641913 (Tel: 3603971500)

📍
Updated Business Mailing Address February 22, 2008

Registered at 700 NE 87TH AVE, VANCOUVER, WA 986641913 (Tel: 3603971500)

👤
Provider Name / Credentials Updated February 22, 2008

Recorded as JENNIFER LYONS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2008

Pediatrics (License #MD00043301 in WA)

🟢
Initial NPI Registration & Enumeration June 01, 2006

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: 1669419289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: February 22, 2008
Sole Proprietor: No

Mailing Address

700 Ne 87th Ave

Vancouver, WA 986641913

Phone: 3603971500

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.