Individual provider Active NPI

Samantha Lilla, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1942990155
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2763 Issued in NV
Practice address
330 Crampton St
Reno, NV 89502-2480
Phone
(775) 329-6300
Fax
(775) 348-3896
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Alliance 53 clinicians

Practice addresses (Care Compare)

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

330 Crampton St
Reno, NV 89502-2480
Phone (775) 329-6300

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230724003367 NV Practitioner - Physician Assistant 4385004241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance CurrentSince Jun 26, 2023 Accepting new patients
Community Health Alliance CurrentSince Jun 26, 2023 Accepting new patients

Locations

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

330 Crampton St
Reno, NV 89502
Phone (775) 336-3700

280 Vista Knoll Pkwy
Ste 107
Reno, NV 89506
Phone (775) 250-0607

3915 Neil Rd
Reno, NV 89502
Phone (775) 870-4333

1055 S Wells Ave
#120
Reno, NV 89502
Phone (775) 336-3021

680 S Rock Blvd
Reno, NV 89502
Phone (775) 336-3003

2244 Oddie Blvd
Sparks, NV 89431
Phone (775) 997-7300

5055 Sun Valley Blvd
Ste 100
Sun Valley, NV 89433
Phone (775) 870-4334

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2763 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

330 Crampton St
Reno, NV 89502-2480

Mailing address

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 1

2244 Oddie Blvd
Sparks, NV 89431-7574
Phone (775) 329-6300

Other practice location 2

280 Vista Knoll Pkwy Ste 107
Reno, NV 89506-5649
Phone (775) 329-6300

Other practice location 3

680 S Rock Blvd
Reno, NV 89502-4113
Phone (775) 329-6300

Other practice location 4

5055 Sun Valley Blvd Ste 100
Sun Valley, NV 89433-8296
Phone (775) 329-6300

Other practice location 5

1055 S Wells Ave
Reno, NV 89502-2550
Phone (775) 329-6300

Other practice location 6

3915 Neil Rd
Reno, NV 89502-6808
Phone (775) 329-6300

Other names 1

NPPES NPI Registry
  • Samantha Lilla Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2024.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1942990155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CRAMPTON ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895022480",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2244 Oddie Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894317574",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Vista Knoll Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895065649",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024113",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Sun Valley Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "NV",
            "postal_code": "894338296",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3915 Neil Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026808",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-348-3896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LILLA",
        "first_name": "SAMANTHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LILLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.