LILY ANN KOSCIELNIAK (PA-C) – Surgical Physician Assistant, NPI 1265298764

LILY ANN KOSCIELNIAK (PA-C) is a healthcare provider. based in The woodlands, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17688 (TX). The NPI Number for LILY ANN KOSCIELNIAK (PA-C) is 1265298764

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
LILY ANN KOSCIELNIAK (PA-C)
NPI
1265298764
Phone
Not provided
Address
9305 PINECROFT DR STE 400
Enumeration Date
22 February 2024
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365061936
Graduation Year
2023 (3 years ago)
PAC ID
1153769138
Group Practice PAC ID
6608868070
Professional Enrollment ID
I20240410001124
Address ID
TX773184937WI9851XWXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for LILY ANN KOSCIELNIAK (PA-C)

  • 9305 PINECROFT DR STE 400

    THE WOODLANDS, TX 773803482

    Phone:

    Mailing address matches the actual address.

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 $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($158).

Total Amount

$158

General + Research + Ownership

Payments

3

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

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: 2024-04-10

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
I20240410001124IPhysician AssistantTXTBD

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 77380)

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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: 6608868070View full group profile
NameSpecialtyState
Gynecological Oncology, Obstetrics/GynecologyTX
Orthopedic Surgery, Hand SurgeryNC
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Orthopedic Surgery, Sports MedicineTX
-TX
Orthopedic SurgeryTX
Physician AssistantTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is LILY ANN KOSCIELNIAK (PA-C)'s NPI number?
LILY ANN KOSCIELNIAK (PA-C)'s NPI is 1265298764 — the number used across U.S. healthcare to identify this provider.
Is LILY ANN KOSCIELNIAK (PA-C) still an active registrant?
LILY ANN KOSCIELNIAK (PA-C) carries an active NPI according to the public dataset.
How would a patient describe LILY ANN KOSCIELNIAK (PA-C)'s focus?
For LILY ANN KOSCIELNIAK (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is LILY ANN KOSCIELNIAK (PA-C) registered?
Use The Woodlands, Texas as the headline location for LILY ANN KOSCIELNIAK (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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