CARLY ALYSSA DI LILLO (PA-C) – Physician Assistant, NPI 1104505221

CARLY ALYSSA DI LILLO (PA-C) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2913 (NV). The NPI Number for CARLY ALYSSA DI LILLO (PA-C) is 1104505221

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CARLY ALYSSA DI LILLO (PA-C)
NPI
1104505221
Phone
(775) 982-5640
Address
1155 MILL ST # M-14
Enumeration Date
17 July 2023
Last Update Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753296300
Graduation Year
2023 (3 years ago)
PAC ID
6204286511
Group Practice PAC ID
3577540160
Professional Enrollment ID
I20231228003922
Address ID
NV895022550RE1055XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for CARLY ALYSSA DI LILLO (PA-C)

  • 1155 MILL ST # M-14

    RENO, NV 895021576

    Phone: (775) 982-5640

    Fax: (775) 982-3901

    Type: Mailing

  • 901 E 2ND ST STE 300

    RENO, NV 895021175

    Phone: (775) 982-5640

    Fax: (775) 982-3901

    Type: Location

  • 1055 S Wells Ave

    Reno, NV 895022550

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 3915 Neil Rd

    Reno, NV 895026808

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 330 Crampton St

    Reno, NV 895022480

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 5055 Sun Valley Blvd Ste 100

    Sun Valley, NV 894338296

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 280 Vista Knoll Pkwy Ste 107

    Reno, NV 895065649

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 680 S Rock Blvd

    Reno, NV 895024113

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 2244 Oddie Blvd

    Sparks, NV 894317574

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $224.

Total Amount is formed as General ($224) + Research ($0) + Ownership ($0) = $224.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Dexcom, Inc. ($49).

Total Amount

$224

General + Research + Ownership

Payments

10

Total payment records

General Amount

$224

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

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: 2023-12-28

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
I20231228003922IPhysician AssistantNVTBD

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 89502)

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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: 3577540160View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Physician AssistantNV
Nurse PractitionerSD
Physician AssistantNV
Nurse PractitionerNV
Family PracticeNV
Clinical Social WorkerNV
Internal Medicine, HospitalistNV

Reviews

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Frequently asked questions

What NPI should I save for CARLY ALYSSA DI LILLO (PA-C)?
Save NPI 1104505221 if you need a stable reference for CARLY ALYSSA DI LILLO (PA-C).
Is CARLY ALYSSA DI LILLO (PA-C)'s NPI currently valid?
The extract we use shows CARLY ALYSSA DI LILLO (PA-C) as active.
Does CARLY ALYSSA DI LILLO (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for CARLY ALYSSA DI LILLO (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place CARLY ALYSSA DI LILLO (PA-C)?
The snapshot lists Reno, Nevada for CARLY ALYSSA DI LILLO (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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