Individual provider Active NPI

Lilly Kaya Kyarthwyn Green, CNP

  • Family Nurse Practitioner
  • Eugene, OR
National Provider Identifier
1972280816
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10062875 Issued in OR
Practice address
1400 Mill St
Eugene, OR 97401-4259
Phone
(541) 484-4000
Fax
(541) 344-8351
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 10062875 OR Primary

Addresses

Primary practice location

1400 Mill St
Eugene, OR 97401-4259

Mailing address

341 E 12TH Ave
Eugene, OR 97401-3275
Phone (541) 484-4800

Other names 1

  • Ms. Lilly Kaya Kyarthwyn Green Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240918003690 NM Practitioner - Nurse Practitioner 1557802436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Community Healthcare, Inc.Group PAC ID 7315854049, 51 clinicians

Practice addresses (Care Compare)

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

8 Medical Ctr Rd
Edgewood, NM 87015-7086
Phone (505) 281-3406

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Medical Services CurrentSince Sep 30, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince May 19, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Sep 30, 2024 Accepting new patients
First Choice Community Healthcare, Inc. CurrentSince May 19, 2025 Accepting new patients

Locations

7704 2nd St NW
Ste A
Albuquerque, NM 87107
Phone (505) 890-1458

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1972280816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013275",
            "telephone_number": "541-484-4800",
            "fax_number": "541-344-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MILL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014259",
            "telephone_number": "541-484-4000",
            "fax_number": "541-344-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LILLY KAYA",
        "middle_name": "KYARTHWYN",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10062875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLY KAYA",
            "last_name": "GREEN",
            "middle_name": "KYARTHWYN",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.