LILY HSU – Pharmacy Technician, NPI 1417546938

LILY HSU is a healthcare provider. based in Odessa, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA19536 (TX). The NPI Number for LILY HSU is 1417546938

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LILY HSU
NPI
1417546938
Phone
(432) 332-2663
Address
1 PARKS LEGADO CT
Enumeration Date
11 January 2021
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4323322663
Graduation Year
2025 (1 year ago)
PAC ID
2668964669
Group Practice PAC ID
3870403363
Professional Enrollment ID
I20251126001653
Address ID
TX797652542OD1XXXXCTXX400

Contacts

Main Contact
4323358849
Main Contact
NA
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for LILY HSU

  • 1 PARKS LEGADO CT

    ODESSA, TX 797652542

    Phone: (432) 332-2663

    Fax: (432) 335-8849

    Type: Mailing

  • 2745 N GRANDVIEW AVE

    ODESSA, TX 79762

    Phone: (432) 366-2868

    Type: Mailing

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: 2025-11-26

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
I20251126001653IPhysician 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 79765)

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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: 3870403363View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for LILY HSU?
LILY HSU — NPI 1417546938 — is the standard way to identify this listing.
Is LILY HSU still practicing?
LILY HSU is currently listed as active in the public NPI registry.
What is LILY HSU best known for clinically?
Directory data describes LILY HSU with Pharmacy Technician. Clinical services aligned with this taxonomy classification.
Where is LILY HSU based?
LILY HSU is tied to Odessa, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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