SAMANTHA NICOLE LILLICO FNP-C
NPI 1093225815
Nurse Practitioner in Saint Peters, MO
About Samantha Nicole Lillico Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA NICOLE LILLICO FNP-C (NPI 1093225815) is an individual nurse practitioner in Saint Peters, Missouri, licensed in Missouri (2017024415) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Nicole Lillico Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Lillico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 77 clinicians in this Medicare group
Saint Louis, MO 63119
- Reassigned Medicare billing, Missouri enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT PETERS, MO 63376
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 Samantha Lillico's NPI number?
The NPI number for Samantha Lillico is 1093225815. It was assigned to this individual provider in the NPPES registry on October 6, 2017.
Where is Samantha Lillico located?
Samantha Lillico practices at 3701 N Saint Peters Pkwy Ste B2, Saint Peters, MO 63376. The listed phone number is (636) 681-3166.
What is Samantha Lillico's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Lillico enrolled in Medicare?
Yes. Samantha Lillico 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.
Which organizations bill Medicare for Samantha Lillico's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Lillico reassigns Medicare benefits to 2 organizations: Mercy Clinic Adult Critical Care, LLC (Saint Louis, MO) and Total Access Urgent Care, PC (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Lillico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Lillico was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Samantha Nicole Lillico, FNP-C · NPI 1093225815
Nurse Practitioner physician in Saint Peters, Missouri. Individual provider, active in the CMS NPPES registry since October 6, 2017.
## Identity
- **NPI:** 1093225815 (Entity type: Individual)
- **Enumerated:** October 6, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2017024415 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 N SAINT PETERS PKWY STE B2, Saint Peters, MO 63376-7370
- **Phone:** (636) 681-3166
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Adult Critical Care, LLC (NPI 1730119421, Saint Louis, MO); Total Access Urgent Care, PC (NPI 1962684886, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 14, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1093225815) · Data from the CMS NPPES public registry.