Individual provider Active NPI

Kendal Lilly, CNP

  • Primary Care Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1598474520
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN.CNP.0032683 Issued in OH
Practice address
631 Bright Rd
Findlay, OH 45840-6940
Phone
(419) 424-0815
NPI assigned
Nov 17, 2022
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN.CNP.0032683 OH Primary

Addresses

Primary practice location

631 Bright Rd
Findlay, OH 45840-6940

Mailing address

631 Bright Rd
Findlay, OH 45840-6940
Phone (419) 424-0815

Other names 1

  • Kendal Moses Former name

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
I20231004000882 OH Practitioner - Nurse Practitioner 9436503802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Terra Nova Medical ClinicGroup PAC ID 9739362815, 6 clinicians

Practice addresses (Care Compare)

710 Fox Run Rd
Findlay, OH 45840-7169
Phone (419) 424-0815

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Terra Nova Medical Clinic CurrentSince Aug 21, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

631 Bright Rd
Findlay, OH 45840
Phone (419) 424-0815

710 Fox Run Rd
Findlay, OH 45840
Phone (419) 424-0815

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHFBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1598474520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BRIGHT RD",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406940",
            "telephone_number": "419-424-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BRIGHT RD",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458406940",
            "telephone_number": "419-424-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLY",
        "first_name": "KENDAL",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0032683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDAL",
            "last_name": "MOSES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.