Active NPI
Lillian Elaine Garrison
- Physician Assistant
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.007891RX
- Practice address
- 3535 Southern Blvd Ste 2100
Kettering, OH 45429-1221 - Phone
- (937) 298-4331
- NPI assigned
- Nov 3, 2022
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | APP-000646319 | OH | |
| Physician Assistant | 363A00000X | 50.007891RX | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd Ste 2100
Kettering, OH 45429-1221
Mailing address
3535 Southern Blvd Ste 2100
Kettering, OH 45429-1221
Phone (937) 572-7297
Other names 1
- Lillian Elaine Haerr
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ | ||
| Direct Messaging Address | lhaerr751576@direct.ketteringhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Main Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APP-000646319 | OH | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients |
Locations
3535 Pentagon Blvd
Ste 320
Beavercreek, OH 45431
Phone (937) 490-2270
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3533 Southern Blvd
Ste 2100
Kettering, OH 45429
Phone (937) 293-3486
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3535 Southern Blvd
Ste 2100
Kettering, OH 45429
Phone (937) 298-4331
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1306553789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD STE 2100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-572-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD STE 2100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-298-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "LILLIAN",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OH",
"license": "APP-000646319",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.007891RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "3535 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhaerr751576@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3535 Southern Blvd Ste 2100",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "HAERR",
"middle_name": "ELAINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.