Individual provider Active NPI

Lillian Bronson, APRN

  • Advanced Practice Midwife
  • Fort Defiance, AZ
National Provider Identifier
1902337892
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN002544 Issued in NV
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone
(928) 729-8000
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN93456 NV
Women's Health Nurse Practitioner 363LW0102X APRN002544 NV
Advanced Practice Midwife 367A00000X APRN002544 NV Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000

Other practice location 1

901 E 2nd St Ste 307
Reno, NV 89502-1178
Phone (775) 982-5000

Other practice location 2

10085 Double R Blvd Ste 255
Reno, NV 89521-3856
Phone (775) 982-5000

Other practice location 3

975 Ryland St Ste 105
Reno, NV 89502-1668
Phone (775) 982-5640

Other practice location 4

3133 N Pennsylvania St
Indianapolis, IN 46205-3926
Phone (317) 656-9242

Other identifiers 2

IdentifierTypeStateIssuer
13984146OtherCAQH
1902337892MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712000836 NV Practitioner - Certified Nurse Midwife (CNM) 7012286776 Reassigns benefits to 1 organization
I20260127001438 TX Practitioner - Certified Nurse Midwife (CNM) 7012286776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2668 Chipping Point CT
Reno, NV 89509-7058

PO Box
Suite 649
Fort Defiance, AZ 86504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002544NVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Transitional Care Services CurrentSince Sep 3, 2023 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Dec 23, 2025 Accepting new patients

Locations

975 Ryland St
Ste 105
Reno, NV 89502
Phone (775) 982-5640

1155 Mill St
#14
Reno, NV 89502

850 Harvard Way
Reno, NV 89502

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1902337892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 2nd St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021178",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10085 Double R Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213856",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "975 Ryland St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021668",
            "country_code": "US",
            "telephone_number": "775-982-5640",
            "fax_number": "775-982-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 N Pennsylvania St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462053926",
            "country_code": "US",
            "telephone_number": "317-656-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRONSON",
        "first_name": "LILLIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN93456",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "APRN002544",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "APRN002544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13984146",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902337892",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

Verify at the official NPI Registry.