Individual provider Active NPI

Lilia Lynch

  • Family Nurse Practitioner
  • Dededo, GU
National Provider Identifier
1912475872
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP0192 Issued in GU
Practice address
133 Biradan Anakko
Dededo, GU 96929-5739
Phone
(671) 645-5500
NPI assigned
Nov 8, 2018
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP0192 GU Primary

Addresses

Primary practice location

133 Biradan Anakko
Dededo, GU 96929-5739

Mailing address

PO Box 290952
Yigo, GU 96929-3045
Phone (671) 688-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20190529000479 GU Practitioner - Nurse Practitioner 4587907969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.42 of 100Reported as group
Quality
34.49
Improvement activities
40
Cost
75.41

Merit-based Incentive Payment System (MIPS)

Final score
79.22 of 100Reported as group
Quality
78.84
Improvement activities
40
Cost
61.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Med & Nephrology CurrentSince Nov 19, 2021 Accepting new patients
Guam Dermatology Institute LLC CurrentSince Oct 29, 2021 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 17, 2019 Accepting new patients
Guam Healthcare Development Incorporated Past Accepting new patients
Advanced Eyecare, LLC PastSince Nov 19, 2021 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

736 Route 4
Ste 103
Sinajana, GU 96910
Phone (671) 649-7232

633 Gov Carlos G Camacho Rd
Ste 102
Tamuning, GU 96913
Phone (671) 588-5001

Organizations & group practices 5

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1912475872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290952",
            "city": "YIGO",
            "state": "GU",
            "postal_code": "969293045",
            "telephone_number": "671-688-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BIRADAN ANAKKO",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295739",
            "telephone_number": "671-645-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "LILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

Verify at the official NPI Registry.