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

Raven Danielle Lyles

Individual provider Certified Registered Nurse Anesthetist · NPI 1013661230

Raven Danielle Lyles is a Certified Registered Nurse Anesthetist (CRNA) in Charlotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in Mississippi, North Carolina and Virginia.

Years since qualifying
5
Licensed in
MS, NC, VA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone: (704) 384-4274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024186691 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 904663 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 6828 (NC)

Record details

NPI number1013661230
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2022
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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