SAMANTHA LILLA (PA-C) – Physician Assistant, NPI 1942990155

SAMANTHA LILLA (PA-C) is a healthcare provider. based in Sparks, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA2763 (NV). The NPI Number for SAMANTHA LILLA (PA-C) is 1942990155

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LILLA (PA-C)
NPI
1942990155
Phone
(775) 329-6300
Address
2244 Oddie Blvd
Enumeration Date
10 May 2023
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
7753296300
Graduation Year
2022 (4 years ago)
PAC ID
4385004241
Group Practice PAC ID
3577540160
Professional Enrollment ID
I20230724003367
Address ID
NV895022480RE330XXSTXX300
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

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for SAMANTHA LILLA (PA-C)

  • 2244 Oddie Blvd

    Sparks, NV 894317574

    Phone: (775) 329-6300

    Type: Location

  • 3915 Neil Rd

    Reno, NV 895026808

    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

  • 680 S Rock Blvd

    Reno, NV 895024113

    Phone: (775) 329-6300

    Fax: (775) 348-3896

    Type: Location

  • 1055 S Wells Ave

    Reno, NV 895022550

    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

    Type: Mailing

  • 330 CRAMPTON ST

    RENO, NV 895022480

    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 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Mannkind Corporation ($24).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2023-07-24

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
I20230724003367IPhysician 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 89431)

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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
Physician AssistantNV
Nurse PractitionerNV
Family PracticeNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for SAMANTHA LILLA (PA-C)?
SAMANTHA LILLA (PA-C) — NPI 1942990155 — is the standard way to identify this listing.
Can I rely on SAMANTHA LILLA (PA-C) being an active provider?
As of the registry snapshot, SAMANTHA LILLA (PA-C) is marked active.
What is SAMANTHA LILLA (PA-C)'s specialty?
The listing groups SAMANTHA LILLA (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect SAMANTHA LILLA (PA-C) on a map?
Expect Sparks, Nevada as a primary anchor for SAMANTHA LILLA (PA-C) unless the record lists multiple sites.
Why does SAMANTHA LILLA (PA-C) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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