Individual provider Active NPI

Erica Louise Lilleness, D.O.

  • Anesthesiology Physician
  • Puyallup, WA
National Provider Identifier
1962778456
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OP60651051 Issued in WA
Practice address
400 E Pioneer Ste 101
Puyallup, WA 98372-3256
Phone
(253) 445-5828
Fax
(253) 445-5831
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 3072-321 WI
Anesthesiology Physician 207L00000X OP60651051 WA Primary

Addresses

Primary practice location

400 E Pioneer Ste 101
Puyallup, WA 98372-3256

Mailing address

400 E Pioneer Ste 101
Puyallup, WA 98372-3256
Phone (253) 445-5828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MI, AZ, NE, WI5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160825001959 WA Practitioner - Anesthesiology 4587959887 Reassigns benefits to 7 organizations
I20221026000804 MI Practitioner - Anesthesiology 4587959887 Reassigns benefits to 2 organizations
I20240425002291 AZ Practitioner - Anesthesiology 4587959887 Reassigns benefits to 1 organization
I20240809001804 NE Practitioner - Anesthesiology 4587959887 Reassigns benefits to 1 organization
I20250108003828 WI Practitioner - Anesthesiology 4587959887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Oct 4, 2022 Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince Feb 5, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Physicians Anesthesia Service PLLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
North Platte Surgery Center Anesthesia, LLC Anesthesiology CurrentSince May 23, 2024 Accepting new patients
Western Washington Medical Group, Inc, PS CurrentSince Apr 1, 2025 Accepting new patients
Kingman Healthcare, Inc Family Medicine Current Accepting new patients
Providence Wa Anesthesia Services, P.C. Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Capital Medical Center Specialty Physicians, LLC CurrentSince Dec 5, 2022 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 1, 2023 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Pacific Anesthesia PC Anesthesiology CurrentSince Nov 1, 2018 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jun 1, 2024 Accepting new patients
North Platte Surgery Center LLC Family Medicine Current Accepting new patients
Memorial Hospital Anesthesiology CurrentSince Oct 4, 2022 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology CurrentSince Oct 25, 2025 Accepting new patients
Grays Harbor Surgeons CurrentSince May 1, 2023 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

621 W Francis St
North Platte, NE 69101
Phone (308) 534-8800

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1229 Madison St
Ste 1440
Seattle, WA 98104
Phone (206) 625-0578

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Interoperability endpoints

  • Direct secure messaging: elilleness3435191@direct.trinity-health.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1962778456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PIONEER STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723256",
            "telephone_number": "253-445-5828",
            "fax_number": "253-445-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PIONEER STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723256",
            "telephone_number": "253-445-5828",
            "fax_number": "253-445-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLENESS",
        "first_name": "ERICA",
        "middle_name": "LOUISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "3072-321",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "OP60651051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.