ELLEN LILLA – Clinical Social Worker, NPI 1205311297

ELLEN LILLA is a healthcare provider. based in Owatonna, Minnesota. specializing in Clinical Social Worker. The NPI Number for ELLEN LILLA is 1205311297

Main info

Female
11 Years Of Experience
Name
ELLEN LILLA
NPI
1205311297
Phone
Not provided
Address
2575 HARVEST LN
Enumeration Date
26 September 2018
Last Update Date
26 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072168350
Graduation Year
2015 (11 years ago)
PAC ID
5092043380
Group Practice PAC ID
3870872914
Professional Enrollment ID
I20190823003126
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for ELLEN LILLA

  • 2575 HARVEST LN

    OWATONNA, MN 550604305

    Phone:

    Type: Mailing

  • 1811, Greenview Place Southwest, Green Meadows, Rochester, Olmsted County, Minnesota, 55902, United States

    ROCHESTER, MN 559021002

    Phone: (507) 446-0431

    Type: Location

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: 2019-08-23

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
I20190823003126IClinical Social WorkerMNTBD

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 55060)

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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: 3870872914View full group profile
NameSpecialtyState
Mental Health CounselorMN
Nurse PractitionerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What unique ID ties claims to ELLEN LILLA?
NPI 1205311297 is assigned to ELLEN LILLA under the national enumeration system.
Does this profile mean ELLEN LILLA is currently active?
Yes — ELLEN LILLA appears active in the national provider directory.
Does ELLEN LILLA list a primary specialty?
If you are matching referrals, note Clinical Social Worker for ELLEN LILLA. Clinical services aligned with this taxonomy classification.
Where is ELLEN LILLA's primary listing?
We display Owatonna, Minnesota because that is what the record indicates for ELLEN LILLA.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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