Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse Thomas Lyon, PA

Individual provider Physician Assistant · NPI 1013431188

Jesse Thomas Lyon, PA is a Physician Assistant in Gilbert, Arizona. Qualified in 2017, 9 years ago. Practices with Phoenix Children's Hospital, a 430-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3489 S Mercy Rd Ste 101
Gilbert, AZ 85297-0431
Phone: (480) 981-8088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013431188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address4197 S Las Villa Way, Gold Canyon, AZ 85118-1955

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Phoenix Children'S Hospital — 430 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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