CARLY ALYSSA DI LILLO PA-C
NPI 1104505221
Physician Assistant in Reno, NV

Q: What is Carly Di Lillo's NPI number?

The NPI number for Carly Di Lillo is 1104505221. It was assigned to this individual provider in the NPPES registry on July 17, 2023. The provider is also known as Carly Roth.

Q: What is Carly Di Lillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Di Lillo was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment

901 E 2ND ST STE 300, RENO, NV 89502(775) 982-5640(775) 982-3901 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Dec 12, 2023, Jul 17, 2023 (3 updates tracked since 2023).

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About Carly Alyssa Di Lillo Pa-c NPPES

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

CARLY ALYSSA DI LILLO PA-C (NPI 1104505221) is an individual physician assistant in Reno, Nevada, licensed in Nevada (PA2913) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104505221

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARLY ALYSSA DI LILLOCredential: PA-C

Location Address901 E 2ND ST STE 300Reno, NV 89502-1175

Mailing Address1155 Mill St # M-14Reno, NV 89502-1576 · (775) 982-5640 · Fax (775) 982-3901

Phone(775) 982-5640

Fax(775) 982-3901

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 17, 2023

Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2026

✔ NPI 1104505221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NV · PA2913

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.

901 E 2ND ST STE 300, Reno, NV 89502

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Other Names 1

Former Name (1)Carly Roth

Secondary Practice Locations 7

Location 15055 Sun Valley Blvd Ste 100Sun Valley, NV 89433-8296 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 21055 S Wells AveReno, NV 89502-2550 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 33915 Neil RdReno, NV 89502-6808 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 4330 Crampton StReno, NV 89502-2480 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 52244 Oddie BlvdSparks, NV 89431-7574 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 6280 Vista Knoll Pkwy Ste 107Reno, NV 89506-5649 · Phone (775) 329-6300 · Fax (775) 348-3896

Location 7680 S Rock BlvdReno, NV 89502-4113 · Phone (775) 329-6300 · Fax (775) 348-3896

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Carly Alyssa Di Lillo Pa-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.

PECOS PAC ID6204286511

PECOS Enrollment IDI20231228003922

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 89502 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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 20

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

CHARLENE A KNEDGEN APRN

Nurse Practitioner