LILY TIAO – Acute Care Nurse Practitioner, NPI 1922477306

LILY TIAO is a healthcare provider. based in Corona, California. specializing in NURSE PRACTITIONER. They hold a License No. 95002983 (CA). The NPI Number for LILY TIAO is 1922477306

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LILY TIAO
NPI
1922477306
Phone
(515) 770-6588
Address
211 W RINCON ST UNIT 208
Enumeration Date
16 September 2015
Last Update Date
16 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516561500
Graduation Year
2014 (12 years ago)
PAC ID
4183933179
Group Practice PAC ID
9436253515
Professional Enrollment ID
I20151013001838
Address ID
CA925553927MO26520AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for LILY TIAO

  • 211 W RINCON ST UNIT 208

    CORONA, CA 928802061

    Phone: (515) 770-6588

    Type: Mailing

  • 26520 CACTUS AVE

    MORENO VALLEY, CA 925553927

    Phone: (951) 486-4397

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $152.

Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: Inari Medical, Inc. ($152).

Total Amount

$152

General + Research + Ownership

Payments

2

Total payment records

General Amount

$152

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$152
View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151013001838INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92880)

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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: 9436253515View full group profile
NameSpecialtyState
Physician AssistantCA
Internal MedicineCA
H O S P I T A L I S TCA
Internal MedicineCA
H O S P I T A L I S TCA
Physician AssistantCA
Internal MedicineCA
H O S P I T A L I S TCA
Internal Medicine, HospitalistAZ
Internal MedicineCA

Reviews

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Frequently asked questions

Can I use this page to confirm LILY TIAO's NPI?
Yes. LILY TIAO is listed with NPI 1922477306 in the public NPI dataset.
Does CMS list LILY TIAO as active?
Yes — LILY TIAO is active in the NPI listing used on this page.
What is LILY TIAO best known for clinically?
Directory data describes LILY TIAO with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does LILY TIAO serve?
LILY TIAO's listing highlights Corona, California; more addresses can appear in NPPES.
Is the information about LILY TIAO up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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