LILLI ELIZABETH CONNER
NPI 1023681640
Physician Assistant in Waldorf, MD

Active since July 21, 2021PECOS EnrolledAccepts Medicare Assignment
12070 OLD LINE CTR STE 303, WALDORF, MD 20602(301) 645-5100 Get Directions Write a Review

NPPES record last updated: October 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2022, Jul 21, 2021 (2 updates tracked since 2021).

About Lilli Elizabeth Conner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLI ELIZABETH CONNER (NPI 1023681640) is an individual physician assistant in Waldorf, Maryland and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Wake Forest University School Of Medicine (2021).

NPPES Registry Identity

NPI1023681640
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLI ELIZABETH CONNER
Location Address12070 OLD LINE CTR STE 303Waldorf, MD 20602-3535
Mailing Address46165 Kayak Ct Unit AGreat Mills, MD 20634-3083
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2021
Enumeration DateJuly 21, 2021
Last NPPES UpdateOctober 2, 20222 updates tracked since enumeration
NPPES CertifiedOctober 2, 2022
NPI 1023681640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12070 OLD LINE CTR STE 303, Waldorf, MD 20602

Other Names 1

Former Name (1)Lilli Elizabeth Altenburg

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lilli Elizabeth Conner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628474525
PECOS Enrollment IDI20210901000110
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
769 services97 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
52 services32 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Nurse Practitioner (Family)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR STE 303
WALDORF, MD 20602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lilli Conner's NPI number?

The NPI number for Lilli Conner is 1023681640. It was assigned to this individual provider in the NPPES registry on July 21, 2021. The provider is also known as Lilli Elizabeth Altenburg.

Where is Lilli Conner located?

Lilli Conner practices at 12070 Old Line Ctr Ste 303, Waldorf, MD 20602. The listed phone number is (301) 645-5100.

What is Lilli Conner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lilli Conner enrolled in Medicare?

Yes. Lilli Conner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lilli Conner affiliated with any hospitals?

According to CMS data, Lilli Conner is affiliated with Medstar Saint Mary's Hospital, Calverthealth Medical Center and Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Lilli Conner was last updated on October 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.