MRS. ALANNA ELIZABETH LILLY (PA-C) – Medical Physician Assistant, NPI 1093182479

MRS. ALANNA ELIZABETH LILLY (PA-C) is a healthcare provider. based in Nampa, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. ID-1253 (ID). The NPI Number for MRS. ALANNA ELIZABETH LILLY (PA-C) is 1093182479

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ALANNA ELIZABETH LILLY (PA-C)
NPI
1093182479
Phone
(208) 606-0396
Address
824 S DIAMOND ST
Enumeration Date
1 September 2015
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085463046
Graduation Year
2014 (12 years ago)
PAC ID
0547570434
Group Practice PAC ID
9830564665
Professional Enrollment ID
I20151104002843
Address ID
ID836865960NA824XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,546 PHYSICIAN ASSISTANT in ID

Provider Addresses for MRS. ALANNA ELIZABETH LILLY (PA-C)

  • 824 S DIAMOND ST

    NAMPA, ID 836865960

    Phone: (208) 606-0396

    Fax: (208) 936-7002

    Type: Mailing

  • 12273 W MCMILLAN RD

    BOISE, ID 837130555

    Phone: (208) 367-6330

    Fax: (208) 367-4765

    Type: Location

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 367-6330

    Fax: (208) 367-4765

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $300.

Total Amount is formed as General ($300) + Research ($0) + Ownership ($0) = $300.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Becton, Dickinson and Company ($170).

Total Amount

$300

General + Research + Ownership

Payments

7

Total payment records

General Amount

$300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

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: 2015-11-04

PECOS data refreshed: 2026-06-15

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
I20151104002843IPhysician AssistantIDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4834$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1414$0
View full utilization report →

Insurance plans in this area (ZIP 83686)

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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: 9830564665View full group profile
NameSpecialtyState
Clinical Social WorkerID
Physician AssistantID
Family PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to MRS. ALANNA ELIZABETH LILLY (PA-C)?
The federal identifier for MRS. ALANNA ELIZABETH LILLY (PA-C) is NPI 1093182479.
Does this profile mean MRS. ALANNA ELIZABETH LILLY (PA-C) is currently active?
Yes — MRS. ALANNA ELIZABETH LILLY (PA-C) appears active in the national provider directory.
Can you summarize MRS. ALANNA ELIZABETH LILLY (PA-C)'s specialty in plain language?
Clinically, the directory lists MRS. ALANNA ELIZABETH LILLY (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. ALANNA ELIZABETH LILLY (PA-C)?
The snapshot lists Nampa, Idaho for MRS. ALANNA ELIZABETH LILLY (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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