Individual provider Active NPI

Jesslynne Kelley Lillard, FNP

  • Family Nurse Practitioner
  • Morganton, NC
National Provider Identifier
1659059186
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018428 Issued in NC
Practice address
712 Jamestown Rd
Morganton, NC 28655-9216
Phone
(828) 608-0953
Fax
(828) 608-0954
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06231016 NC
Family Nurse Practitioner 363LF0000X 5018428 NC Primary

Addresses

Primary practice location

712 Jamestown Rd
Morganton, NC 28655-9216

Mailing address

516 Riverside Dr
Morganton, NC 28655-3727
Phone (828) 448-9391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231003002430 NC Practitioner - Nurse Practitioner 7113371527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Next Steps of Morganton LLCGroup PAC ID 9234507658, 3 clinicians

Practice addresses (Care Compare)

712 Jamestown Rd
Morganton, NC 28655-9216
Phone (828) 608-0953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018428NCMDFamily Nurse Practitioner
F06231016NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
My Next Steps of Morganton, LLC CurrentSince Aug 8, 2023 Accepting new patients

Locations

712 Jamestown Rd
Morganton, NC 28655
Phone (828) 608-0953

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.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1659059186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 RIVERSIDE DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553727",
            "telephone_number": "828-448-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 JAMESTOWN RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286559216",
            "telephone_number": "828-608-0953",
            "fax_number": "828-608-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLARD",
        "first_name": "JESSLYNNE",
        "middle_name": "KELLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06231016",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.