MICHAEL THOMAS LILJEGREN (PA) – Physician Assistant, NPI 1619451150

MICHAEL THOMAS LILJEGREN (PA) is a healthcare provider. based in Semmes, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA.1398 (AL). The NPI Number for MICHAEL THOMAS LILJEGREN (PA) is 1619451150

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL THOMAS LILJEGREN (PA)
NPI
1619451150
Phone
(251) 633-0123
Address
7943 MOFFETT RD
Enumeration Date
20 September 2018
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2515446449
Graduation Year
2018 (8 years ago)
PAC ID
9739429135
Group Practice PAC ID
9739087818
Professional Enrollment ID
I20190321002023
Address ID
AL366199541MO5235XSXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

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Provider Addresses for MICHAEL THOMAS LILJEGREN (PA)

  • Moffett Road, Semmes, Mobile County, Alabama, 36575, United States

    SEMMES, AL 365755409

    Phone: (251) 633-0123

    Fax: (251) 445-3722

    Type: Mailing

  • 1097 INDUSTRIAL PKWY

    SARALAND, AL 365713744

    Phone: (251) 375-2270

    Fax: (251) 375-2269

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190321002023IPhysician AssistantALTBD
I20230309001097IPhysician AssistantFLTBD
I20231003003056IPhysician AssistantMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5656$0
87804Detection test by immunoassay with direct visual observation for influenza virus4623$0
99284Emergency department visit with moderate level of medical decision making3939$0
96372Injection of drug or substance under skin or into muscle2726$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2424$0
View full utilization report →

Insurance plans in this area (ZIP 36575)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739087818View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeKY
Nurse PractitionerLA
General SurgeryAL
-AL
Physician AssistantAL
Nurse PractitionerAL
Emergency Medicine, Family PracticeAL
General SurgeryAL
-AL

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL THOMAS LILJEGREN (PA)'s NPI?
Yes. MICHAEL THOMAS LILJEGREN (PA) is listed with NPI 1619451150 in the public NPI dataset.
Does the file indicate MICHAEL THOMAS LILJEGREN (PA) is practicing under active NPI?
Directory data currently reports MICHAEL THOMAS LILJEGREN (PA) as active.
What is MICHAEL THOMAS LILJEGREN (PA)'s specialty?
The listing groups MICHAEL THOMAS LILJEGREN (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL THOMAS LILJEGREN (PA)?
MICHAEL THOMAS LILJEGREN (PA)'s geographic hint is Semmes, Alabama in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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