Samantha Nicole Lillico, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2017024415 Issued in MO

Practice address

3701 N Saint Peters Pkwy Ste B2
Saint Peters, MO 63376-7370

Phone

(636) 681-3166

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Mercy Clinic Adult Critical Care, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Saint Louis, MO
  • NPI 1730119421
  Medicare reassignment NPD
• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1962684886
  Medicare reassignment NPD
• Nurses & Company Health Care Services Inc

  • Community Based Hospice Care Agency
  • Saint Peters, MO
  • NPI 1871672493
  NPD
• Total Access Urgent Care, PC

  • Urgent Care Clinic/Center
  • Saint Louis, MO
  • NPI 1952729402
  NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1093225815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N SAINT PETERS PKWY STE B2",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767370",
            "telephone_number": "636-681-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N SAINT PETERS PKWY STE B2",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767370",
            "telephone_number": "636-681-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLICO",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017024415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Way Counseling Services LLC
• Lifetime Psychiatry LLC
• Nicholas J Liford, DC
• Light to Wellness Therapy and Consulting Services LLC
• Grace Ligibel, BCBA
• Esther Lima, PHARMACIST
• Ashlee Lindgren
• Timothy Duane Lindsey, BARBER
• Sarah Linn, LCSW
• Tara Linneman

• Nurse Practitioner in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.