LILLY MICHAEL (PA-C) – Physician Assistant, NPI 1457775645

LILLY MICHAEL (PA-C) is a healthcare provider. based in Carthage, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA08941 (TX). The NPI Number for LILLY MICHAEL (PA-C) is 1457775645

Main info

Female
13 Years Of Experience
Name
LILLY MICHAEL (PA-C)
NPI
1457775645
Phone
(903) 693-6626
Address
409 COTTAGE RD
Enumeration Date
10 February 2014
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174234400
Graduation Year
2013 (13 years ago)
PAC ID
7911128533
Group Practice PAC ID
9638549884
Professional Enrollment ID
I20141024000781
Address ID
TX750523087GR4927XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for LILLY MICHAEL (PA-C)

  • 409 COTTAGE RD

    CARTHAGE, TX 75633

    Phone: (903) 693-6626

    Type: Mailing

  • 7300 Eldorado Pkwy Ste 105

    McKinney, TX 750701956

    Phone: (945) 200-6880

    Type: Location

  • 7521 CEDAR ELM DR

    IRVING, TX 750638421

    Phone: (214) 517-9771

    Type: Mailing

  • 9180 PINECROFT DR STE 500

    SHENANDOAH, TX 773803883

    Phone: (713) 897-5900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($148).

Total Amount

$271

General + Research + Ownership

Payments

14

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

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: 2014-10-24

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
I20141024000781IPhysician 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 75633)

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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: 9638549884View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerTX
Nurse PractitionerNM
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Nuclear MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional CardiologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to LILLY MICHAEL (PA-C)?
NPI 1457775645 is assigned to LILLY MICHAEL (PA-C) under the national enumeration system.
Does this profile mean LILLY MICHAEL (PA-C) is currently active?
Yes — LILLY MICHAEL (PA-C) appears active in the national provider directory.
Does LILLY MICHAEL (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for LILLY MICHAEL (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place LILLY MICHAEL (PA-C)?
The snapshot lists Carthage, Texas for LILLY MICHAEL (PA-C); download NPPES for the complete set.
What if Carthage, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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