STEPHANIE LILLY (CRNP) – Adult Health Nurse Practitioner, NPI 1285101592
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for STEPHANIE LILLY (CRNP)
540, Pierce Street, Kingston, Luzerne County, Pennsylvania, 18704, United States
KINGSTON, PA 187045760
Phone: (570) 283-3570
Fax: (570) 283-3572
Type: Location
3901 BEAR CREEK BLVD
BEAR CREEK TOWNSHIP, PA 187029752
Phone: (570) 574-4611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $568.
Total Amount is formed as General ($568) + Research ($0) + Ownership ($0) = $568.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($299).
Total Amount
$568
General + Research + Ownership
Payments
12
Total payment records
General Amount
$568
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $299 |
| Organogenesis Inc. | $169 |
| Kerecis Limited | $39 |
| Boston Scientific Corporation | $19 |
| Novo Nordisk Inc | $15 |
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: 2019-01-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190122000938 | I | Nurse Practitioner | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 197 | 65 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 54 | 53 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | 13 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 17 | 13 | $0 |
Insurance plans in this area (ZIP 18704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA |
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