Stephanie Christine Lillis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4424 Issued in MN

Practice address

100 20TH St NW
Stewartville, MN 55976-1003

Phone

(507) 533-4777

Fax

(507) 533-4778

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SG Chiropractic PC

  • Chiropractor
  • Stewartville, MN
  • NPI 1023434164
  Medicare reassignment NPD
• RJF Chiropractic Center, Inc.

  • Chiropractor
  • Cincinnati, OH
  • NPI 1134201973
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1982609525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 20TH ST NW",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761003",
            "telephone_number": "507-533-4777",
            "fax_number": "507-533-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 20TH ST NW",
            "city": "STEWARTVILLE",
            "state": "MN",
            "postal_code": "559761003",
            "telephone_number": "507-533-4777",
            "fax_number": "507-533-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLIS",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894642600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC #",
            "identifier": "091K3AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL #",
            "identifier": "091K5LI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033943100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Peterson
• Leroy Johnson Jr.
• Jeremy Krekula
• Michael George Kuderer, D.C.
• Zachary John Lechner, D.D.S.
• Lindsey Lilly
• Nicole Marie Lonien, M.S. CCC-SLP
• McBe Company
• Brandon Mickelson, D.C.
• Pamela Jo Mueller, RN, BSN, FCP

• Chiropractor in Stewartville, MN
• Providers in Stewartville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.