Individual provider Active NPI

Kelly Lynn Lillie, RN, CNP

  • Family Nurse Practitioner
  • Buffalo Center, IA
National Provider Identifier
1841555281
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A078331 Issued in IA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121227000121 IA Practitioner - Nurse Practitioner 2961654629 Reassigns benefits to 4 organizations

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
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians
Mercyone UrgentcareGroup PAC ID 6002294907, 22 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
4032MNMDMarriage & Family Therapist
R2065946MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Jun 28, 2020 Accepting new patients
Fairmont Orthopedics & Sports Medicine, PA CurrentSince Dec 1, 2025 Accepting new patients
Mercyone Urgentcare CurrentSince Oct 7, 2023 Accepting new patients
Mercyone Urgentcare CurrentSince Oct 7, 2023 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Mercyone Central Iowa Urgent Care CurrentSince Oct 7, 2023 Accepting new patients
North Iowa Mercy Clinics CurrentSince Feb 28, 2022 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.