ALISSA C LILLA (PA) – Physician Assistant, NPI 1568553584

ALISSA C LILLA (PA) is a healthcare provider. based in Johnston, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1157 (NE). The NPI Number for ALISSA C LILLA (PA) is 1568553584

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA C LILLA (PA)
NPI
1568553584
Phone
(515) 471-9720
Address
8101 BIRCHWOOD CT
Enumeration Date
27 September 2006
Last Update Date
10 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7416999057
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20090305000120
Address ID
IA527221644BE4480XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,649 PHYSICIAN ASSISTANT in IA

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Provider Addresses for ALISSA C LILLA (PA)

  • 8101, Birchwood Court, Birchwood Crossing Business Park, Johnston, Polk County, Iowa, 50131, United States

    SUITE S

    JOHNSTON, IA 501312930

    Phone: (515) 471-9720

    Fax: (515) 471-9725

    Type: Mailing

  • SA Office Building, 6600, Westown Parkway, West Lakes Office Park, West Des Moines, Dallas County, Iowa, 50266, United States

    SUITE 220

    WEST DES MOINES, IA 502667707

    Phone: (515) 241-2250

    Fax: (515) 241-2265

    Type: Location

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 $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($216).

Total Amount

$341

General + Research + Ownership

Payments

7

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2009-03-05

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
I20090305000120IPhysician AssistantIATBD

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 minutes2314$0
View full utilization report →

Insurance plans in this area (ZIP 50131)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

How do I look up ALISSA C LILLA (PA) by NPI?
Use NPI 1568553584 when you need to reference ALISSA C LILLA (PA) in forms, claims, or directories.
Does this profile mean ALISSA C LILLA (PA) is currently active?
Yes — ALISSA C LILLA (PA) appears active in the national provider directory.
Can you summarize ALISSA C LILLA (PA)'s specialty in plain language?
Clinically, the directory lists ALISSA C LILLA (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place ALISSA C LILLA (PA)?
The snapshot lists Johnston, Iowa for ALISSA C LILLA (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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