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

Midzy B Lysius, NP

Individual provider Family Nurse Practitioner · NPI 1174995658

Midzy B Lysius, NP is a Nurse Practitioner in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with Kudos Medical PLLC, a 5-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

725 E Adams St
Syracuse, NY 13210
Phone: (315) 464-4842
Fax: (315) 464-8912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 343225 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 343225 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 685753-1 (NY)

Record details

NPI number1174995658
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 23, 2015
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kudos Medical Pllc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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