Individual provider Active NPI

Sarica Lillie, CNP

  • Nurse Practitioner
  • West Union, OH
National Provider Identifier
1326568528
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.020962 Issued in OH
Practice address
90 Cic Blvd
West Union, OH 45693-8024
Phone
(937) 544-8989
Fax
(937) 544-5659
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.020962 OH Primary

Addresses

Primary practice location

90 Cic Blvd
West Union, OH 45693-8024

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8034

Other identifiers 1

IdentifierTypeStateIssuer
311443010OtherOHSOUTHERN OHIO SURGICAL ASSOCIATES, INC.

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarica.lillie@somc.medicity.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810003694 OH Practitioner - Nurse Practitioner 3072884956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

90 Cic Blvd
West Union, OH 45693-8024
Phone (937) 544-8989

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.020962OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 31, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Practitioner CurrentSince Oct 31, 2018 Accepting new patients

Locations

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1711 27th St
Ste 306
Portsmouth, OH 45662
Phone (740) 353-8661

90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1326568528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8034",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CIC BLVD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456938024",
            "telephone_number": "937-544-8989",
            "fax_number": "937-544-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIE",
        "first_name": "SARICA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.020962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN OHIO SURGICAL ASSOCIATES, INC.",
            "identifier": "311443010",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarica.lillie@somc.medicity.net",
            "affiliation": "N",
            "address_1": "90 Cic Blvd",
            "city": "West Union",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456938024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.