LILY KRAUSS
NPI 1104226570
Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Lily Krauss's NPI number?

The NPI number for Lily Krauss is 1104226570. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Q: What is Lily Krauss's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Lily Krauss was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 03, 2014PECOS Enrolled

3650 STANDISH AVE, SANTA ROSA, CA 95407(707) 585-6108 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lily Krauss NPPES

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

LILY KRAUSS (NPI 1104226570) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104226570

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLILY KRAUSS

Location Address3650 STANDISH AVESanta Rosa, CA 95407-8113

Mailing Address3650 Standish AveSanta Rosa, CA 95407-8113 · (707) 585-6108

Phone(707) 585-6108

Sole ProprietorNo

Enumeration DateSeptember 3, 2014

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1104226570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3650 STANDISH AVE, Santa Rosa, CA 95407

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Krauss is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lily Krauss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

31 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. KATHRYN SUSANNE LUCIANI

Marriage & Family Therapist