NICOLE ELAINE LALLY MD
NPI 1093398349
Family Medicine in Hanford, CA

Q: What is Nicole Lally's NPI number?

The NPI number for Nicole Lally is 1093398349. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Nicole Lally's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lally was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment

250 W 5TH ST, HANFORD, CA 93230(779) 603-4268 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, May 4, 2021 (2 updates tracked since 2021).

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About Nicole Elaine Lally Md NPPES

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

NICOLE ELAINE LALLY MD (NPI 1093398349) is an individual family medicine provider in Hanford, California, licensed in California (A196514) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093398349

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE ELAINE LALLYCredential: MD

Location Address250 W 5TH STHanford, CA 93230-5029

Mailing Address250 W 5th StHanford, CA 93230-5029 · (779) 603-4268

Phone(779) 603-4268

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 4, 2021

Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1093398349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A196514

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

250 W 5TH ST, Hanford, CA 93230

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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

Nicole Elaine Lally Md 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 ID9133523145

PECOS Enrollment IDI20251201001824

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93230 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

JESSI ELIZABETH RIEL PA-C

Physician Assistant