LILA PETERSON (APRN) – Family Nurse Practitioner, NPI 1841995107

LILA PETERSON (APRN) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11023412 (FL). The NPI Number for LILA PETERSON (APRN) is 1841995107

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LILA PETERSON (APRN)
NPI
1841995107
Phone
(973) 460-9118
Address
2315 HICKORY DR
Enumeration Date
4 April 2023
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218069222
Graduation Year
2022 (4 years ago)
PAC ID
4284093352
Group Practice PAC ID
4082620992
Professional Enrollment ID
I20230707000719
Address ID
FL329524963ME205XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LILA PETERSON (APRN)

  • 2315 HICKORY DR

    MELBOURNE, FL 329357252

    Phone: (973) 460-9118

    Mailing address matches the actual address.

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 $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($160).

Total Amount

$160

General + Research + Ownership

Payments

2

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-07-07

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
I20230707000719INurse PractitionerFLTBD

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 32935)

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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: 4082620992View full group profile

Reviews

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Frequently asked questions

Is there an official ID for LILA PETERSON (APRN) in U.S. healthcare records?
The official identifier for LILA PETERSON (APRN) is NPI 1841995107.
Is LILA PETERSON (APRN) shown as active in public data?
Registry records indicate LILA PETERSON (APRN) maintains an active NPI.
How would a patient describe LILA PETERSON (APRN)'s focus?
For LILA PETERSON (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is LILA PETERSON (APRN) registered?
Use Melbourne, Florida as the headline location for LILA PETERSON (APRN) here.
When was this NPI issued?
Enumeration for LILA PETERSON (APRN) is noted as April 4, 2023 where the registry provides it.

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