Active NPI
Patricia Cardin Lilly, FNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP1434
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5011
- NPI assigned
- Aug 8, 2007
- Last updated
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 050502 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP1434 | AZ | Primary |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282
220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.59 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1434 | AZ | MD | Family Nurse Practitioner |
| RN 050502 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle the City | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| Kmtrask, PLLC | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Desert IV Therapy PLLC | Past | Accepting new patients | |
| Partners in Recovery, LLC | Past | Accepting new patients |
Locations
2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399
210 S 12th Ave
Phoenix, AZ 85007
Phone (602) 254-4282
220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368
3333 E Van Buren St
Phoenix, AZ 85008
Phone (602) 690-0598
3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676
Interoperability endpoints
- patricia.lilly.1@11818.direct.athenahealth.com
- plilly200822@direct.valleywisehealth.org
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346588316
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Nurse Practitioner
- Gilbert, AZ
- NPI 1518413962
-
dba Circle the City Family Health Center, Downtown Campus
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1881927994
-
dba PERLA Bienestar Center
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1417841800
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1659623882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1306037742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLY",
"first_name": "PATRICIA",
"middle_name": "CARDIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN 050502",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP1434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.