TAMSEN E LYONS PMHNP
NPI 1972720100
Nurse Practitioner - Psychiatric/Mental Health in Brunswick, ME


Quality Rating: 98.23 out of 100 score

NPI Status: Active since April 19, 2007

Contact Information

66 BARIBEAU DR
BRUNSWICK, ME
ZIP 04011
Phone: (207) 373-6991
Fax: (207) 373-6080

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance
  • PECOS Enrolled

About TAMSEN LYONS

This page provides the complete NPI Profile along with additional information for Tamsen Lyons, a provider established in Brunswick, Maine with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1972720100 assigned on April 2007. The practitioner's primary taxonomy code is 363LP0808X with license number CNP101071 (ME). The provider is registered as an individual and her NPI record was last updated April 2025.

NPI
1972720100
Provider Name
TAMSEN E LYONS PMHNP
Gender
Female
Entity Type
Individual
Location Address
66 BARIBEAU DR BRUNSWICK, ME 04011
Location Phone
(207) 373-6991
Location Fax
(207) 373-6080
Mailing Address
66 BARIBEAU DR BRUNSWICK, ME 04011
Mailing Phone
(207) 373-6991
Mailing Fax
(207) 373-6080
Is Sole Proprietor?
No
Enumeration Date
04-19-2007
Last Update Date
04-02-2025
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A nurse practitioner (NP) like Tamsen Lyons is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 2 Springbrook Dr
    Biddeford, ME 04005
    (207) 282-1500
  • 123 Medical Center Dr
    Brunswick, ME 04011
    (207) 373-6000
  • 22 Bramhall St
    Portland, ME 04102
    (207) 662-0111

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
CNP101071
License State
ME

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • NH Local Choice HMO Bronze 8000 - HMO
  • NH Local Choice HMO Gold - HMO
  • NH Local Choice HMO Gold 1400 - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 - HMO
  • NH Local Choice HMO Silver 5000 - HMO
  • NH Local HMO Bronze 7500 Standard - HMO
  • NH Local HMO Gold 1500 Standard - HMO
  • NH Local HMO Silver 5000 Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Tamsen Lyons is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04011 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.72
  • Minimum New Patient Price $56.28
  • Maximum New Patient Price $169.96
  • Average New Patient Copayment $21.68
  • Minimum New Patient Copayment $14.07
  • Maximum New Patient Copayment $42.49

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.18
  • Minimum Established Patient Price $18.22
  • Maximum Established Patient Price $138.92
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.55
  • Maximum Established Patient Copayment $34.73

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.23, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 98.23 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 86.46

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for TAMSEN E LYONS PMHNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972720100
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29142142010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 4 + 2 + 0 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1972720100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811980428MS. PATRICIA MARIE CONNER LADC,LCPC
Individual
Counselor (Addiction (Substance Use Disorder))66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 443-4721
1427013929 DAVID A. MOLTZ MD
Individual
Psychiatry & Neurology (Psychiatry)66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6950
1215943873 NICOLE CETERSKI LMSW-CC
Individual
Social Worker66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6950
1558414433JAMES H RAKER, MD
Organization
Internal Medicine66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 729-4848
1902950082DR. SHARON KELLEY M.D.
Individual
Psychologist66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6962
1982750774 TERI LEASURE LCSW
Individual
Social Worker (Clinical)66 BARIBEAU DR SUITE 8
BRUNSWICK, ME 04011
(207) 373-6971
1558408252 CAROL GOULETTE LCPC
Individual
Counselor (Professional)66 BARIBEAU DR SUITE 8
BRUNSWICK, ME 04011
(207) 373-6971
1336286046 TOM KIVLER LCPC
Individual
Counselor (Professional)66 BARIBEAU DR SUITE 8
BRUNSWICK, ME 04011
(207) 373-6971
1568509271 ERIC HARAM LADC
Individual
Counselor (Addiction (Substance Use Disorder))66 BARIBEAU DR SUITE 8
BRUNSWICK, ME 04011
(207) 373-6971
1477696748 ROXANNE LEINO LSW
Individual
Social Worker66 BARIBEAU DR SUITE 8
BRUNSWICK, ME 04011
(207) 373-6972
1033389507 SHIRLEY RUSSELL APRN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)66 BARIBEAU DR SUITE 9
BRUNSWICK, ME 04011
(207) 373-6923
1033385547DR. PETER F. MCGUIRE M.D.
Individual
Family Medicine66 BARIBEAU DR SUITE 2
BRUNSWICK, ME 04011
(207) 721-9277
1558537787DR. ALEXANDRA LOGAN WILSON M.D.
Individual
Family Medicine66 BARIBEAU DR SUITE 2
BRUNSWICK, ME 04011
(207) 721-9277
1528213352ADDICTION RESOURCE CENTER
Organization
Psychiatric Unit66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6971
1710132550 PAMELA DYER RN-BC
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6971
1669627063 MARLENE LAURENDEAU LCSW
Individual
Social Worker (Clinical)66 BARIBEAU DR
BRUNSWICK, ME 04011
(207) 373-6950
1053601880 BRYAN SMITH CADC
Individual
Counselor (Addiction (Substance Use Disorder))66 BARIBEAU DR SUITE 1A
BRUNSWICK, ME 04011
(207) 373-6971
1598005258 SHEILA CASALE RN
Individual
Registered Nurse66 BARIBEAU DR SUITE B
BRUNSWICK, ME 04011
(207) 373-6950
1144563123 CATHERINE ANN MCCONNELL LCPC
Individual
Counselor (Addiction (Substance Use Disorder))66 BARIBEAU DR SUITE 1B
BRUNSWICK, ME 04011
(207) 373-6950
1174813950 RALPH EDWARD HALL LADC
Individual
Counselor (Addiction (Substance Use Disorder))66 BARIBEAU DR SUITE 1A
BRUNSWICK, ME 04011
(207) 373-6956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972720100, enumerated in the NPI registry as an "individual" on April 19, 2007

The provider is located at 66 Baribeau Dr Brunswick, Me 04011 and the phone number is (207) 373-6991

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $86.72 with an average copayment of $21.68 for new patient appointments. Established patients should expect a typical charge of $99.18 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.