Individual provider Active NPI

Jennifer Lynn Lilley, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1043891690
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD226347 Issued in OR
Practice address
3601 4TH St
Lubbock, TX 79430-0002
Phone
(806) 743-2757
Fax
(806) 743-1180
NPI assigned
Apr 15, 2021
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Medicine Physician 207Q00000X V0020 TX
Family Medicine Physician 207Q00000X MD226347 OR Primary
Family Medicine Physician 207Q00000X MD61575279 WA

Addresses

Primary practice location

3601 4TH St
Lubbock, TX 79430-0002

Mailing address

2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Phone (503) 325-6000

Other practice location 1

2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Phone (503) 352-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240516001516 TX Practitioner - Family Practice 5092117549 Reassigns benefits to 5 organizations
I20240814003800 WA Practitioner - Family Practice 5092117549 Reassigns benefits to 2 organizations
I20251202003274 OR Practitioner - Family Practice 5092117549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock County Hospital DistrictGroup PAC ID 6709028954, 49 clinicians

Practice addresses (Care Compare)

1005 Cougar St
Vernonia, OR 97064-1282
Phone (503) 842-4444

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 775-8200

202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V0020TXMDFamily Medicine Physician
MD61575279WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 20, 2025 Accepting new patients
Concord Medical Group PLLC Current Accepting new patients
Healthpoint CurrentSince Sep 3, 2024 Accepting new patients
Fisher County Hospital District Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
South Sound Inpatient Physicians, PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Lubbock County Hospital District Family Medicine CurrentSince Jun 5, 2024 Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Fisher County Hospital District Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Fisher County Hospital District CurrentSince Jan 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 16, 2025 Accepting new patients
Healthpoint CurrentSince Sep 3, 2024 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jul 11, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Jul 11, 2024 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 20, 2025 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 1, 2026 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

1005 Cougar St
Vernonia, OR 97064
Phone (503) 429-0622

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

2349 Medical Dr
Pecos, TX 79772
Phone (432) 447-0565

774 State Highway 70 N
Rotan, TX 79546
Phone (325) 735-2256

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

923 Auburn Way N
Auburn, WA 98002
Phone (253) 351-3900

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

1225 N Argonne Rd
Ste 100
Spokane Valley, WA 99212
Phone (509) 505-5315

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: jennifer.lilley.p3@direct.hpc.nextgenshare.com

Organizations & group practices 38

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 38

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1043891690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 SW CEDAR HILLS BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051435",
            "telephone_number": "503-325-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2757",
            "fax_number": "806-743-1180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 SW Cedar Hills Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051435",
            "country_code": "US",
            "telephone_number": "503-352-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V0020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD226347",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61575279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.