Active NPI
Kelly Lynn Lillie, RN, CNP
- Family Nurse Practitioner
- Buffalo Center, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A078331
- Practice address
- 115 N Main St
Buffalo Center, IA 50424-7731 - Phone
- (507) 238-4949
- Fax
- (507) 238-4949
- NPI assigned
- Jul 11, 2012
- Last updated
- Sep 11, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R2065946 | MN | |
| Family Nurse Practitioner | 363LF0000X | A078331 | IA | Primary |
Addresses
Primary practice location
115 N Main St
Buffalo Center, IA 50424-7731
Mailing address
621 S Illinois Ave Ste 103
Mason City, IA 50401-5489
Phone (641) 428-3041
Other practice location 1
635 E US Highway 9
Forest City, IA 50436-1028
Phone (641) 585-2904
Other practice location 2
2440 Bridge Ave
Albert Lea, MN 56007-2088
Phone (507) 320-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 4TH St SW
Mason City, IA 50401-2800
115 N Main St
Buffalo Center, IA 50424-7731
Phone (641) 562-2300
1631 4TH St SW
Suite 114
Mason City, IA 50401-1612
Phone (225) 239-7190
2400 Lillian Way
Clinton, IA 52732-2001
Phone (225) 239-7190
621 S Illinois Ave
100 Mercyone Regency Family Medicine
Mason City, IA 50401-5489
Phone (641) 428-6900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.55 of 100
- Quality
- 73.89
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 70.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4032 | MN | MD | Marriage & Family Therapist |
| R2065946 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Fairmont Orthopedics & Sports Medicine, PA | Current | Accepting new patients | |
| Mercyone Urgentcare | Current | Accepting new patients | |
| Mercyone Urgentcare | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Mercyone Central Iowa Urgent Care | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Nurse Practitioner | Current | Accepting new patients |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Mayo Clinic | Past | Accepting new patients | |
| Sanford Clinic | Past | Accepting new patients | |
| North Iowa Mercy Clinics | Past | Accepting new patients |
Locations
115 N Main St
Buffalo Center, IA 50424
Phone (641) 562-2300
1410 6th Ave S
Clear Lake, IA 50428
Phone (641) 357-2191
2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200
6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786
505 S 1st Ave E
Lake Mills, IA 50450
Phone (641) 592-3900
1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704
621 S Illinois Ave
Ste 103
Mason City, IA 50401
803 9th Ave N
Northwood, IA 50459
Phone (641) 324-1221
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
717 S State St
Ste 900
Fairmont, MN 56031
Phone (507) 238-4949
830 8th St
Walnut Grove, MN 56180
Phone (507) 859-2157
920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150
Interoperability endpoints
- klillie4070395@direct.trinity-health.org
Organizations & group practices 14
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.
-
- Clinic/Center
- Clinton, IA
- NPI 1447995766
-
dba MercyOne North Iowa Anesthesia Professional Services
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
dba Center for Specialty Care
- Specialist
- Fairmont, MN
- NPI 1134173644
IA
-
- Clinic/Center
- Des Moines, IA
- NPI 1790422095
-
- Oxygen Equipment & Supplies (DME)
- Clinton, IA
- NPI 1437030053
-
dba Mercy Family Clinic-Lake Mills
- Family Medicine Physician
- Lake Mills, IA
- NPI 1558478420
-
dba MercyOne Clear Lake Family Medicine
- Family Medicine Physician
- Clear Lake, IA
- NPI 1790895654
-
dba MercyOne North Iowa Heart Center
- Cardiovascular Disease Physician
- Mason City, IA
- NPI 1801147269
Nurse Practitioner
-
dba Mercy Family Clinic-Forest City
- Family Medicine Physician
- Forest City, IA
- NPI 1811003015
-
dba Mercy Family Clinic-Northwood
- Family Medicine Physician
- Northwood, IA
- NPI 1932217825
-
dba Sanford Clinic Walnut Grove
- Family Medicine Physician
- Walnut Grove, MN
- NPI 1033306931
-
dba MercyOne Regency Family Medicine
- Family Medicine Physician
- Mason City, IA
- NPI 1922118918
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Britt, IA
- NPI 1912938606
-
dba Mercy Medical Center-North Iowa
- Rural Acute Care Hospital
- Mason City, IA
- NPI 1467537886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1841555281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S ILLINOIS AVE STE 103",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504015489",
"telephone_number": "641-428-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N MAIN ST",
"city": "BUFFALO CENTER",
"state": "IA",
"postal_code": "504247731",
"telephone_number": "507-238-4949",
"fax_number": "507-238-4949"
}
],
"practiceLocations": [
{
"address_1": "635 E US Highway 9",
"address_purpose": "LOCATION",
"city": "Forest City",
"state": "IA",
"postal_code": "504361028",
"country_code": "US",
"telephone_number": "641-585-2904",
"fax_number": "641-428-4997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2440 Bridge Ave",
"address_purpose": "LOCATION",
"city": "Albert Lea",
"state": "MN",
"postal_code": "560072088",
"country_code": "US",
"telephone_number": "507-320-7900",
"fax_number": "507-320-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILLIE",
"first_name": "KELLY",
"middle_name": "LYNN",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R2065946",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A078331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Center, IA
- Buffalo Center Medical and Specialty Services PLLC
- Buffalo Center Volunteer Ambulance
- Buffalo Center Volunteer Ambulance
- Fairmont Orthopedics and Sports Medicine, PA (Center for Specialty Care Sleep Eye)
- Steven Harris Johnson, D.D.S.
- Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)
- Mercy Health Services-Iowa Corp. (Mercy Family Clinic-Buffalo Center)
- Mark David Milbrandt, PT, DPT
- North Iowa Community School District
- North Iowa Physical Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.