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LILY BOETTCHER PA-C
NPI 1104679083
Physician Assistant in Greenwood Village, CO

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111(303) 436-2727(303) 436-2710 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lily Boettcher Pa-c NPPES

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

LILY BOETTCHER PA-C (NPI 1104679083) is an individual physician assistant in Greenwood Village, Colorado, licensed in Colorado (0008527) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104679083
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILY BOETTCHERCredential: PA-C
Location Address5600 S QUEBEC ST STE 312AGreenwood Village, CO 80111-2208
Mailing Address5600 S Quebec St Ste 312aGreenwood Village, CO 80111-2208 · (303) 436-2727
Phone(303) 436-2727
Fax(303) 436-2710
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 9, 2024
NPPES CertifiedApril 8, 2024
✔ NPI 1104679083 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 CO · 0008527
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.
5600 S QUEBEC ST STE 312A, Greenwood Village, CO 80111
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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

Lily Boettcher 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 ID8820532674
PECOS Enrollment IDI20240703001472
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 80111 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

DR. ROBERT SCHOENFELD MD
Emergency Medicine
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 953-5643
JACENDA COLLEEN O'DWYER PA-C
Physician Assistant
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727
JACOB EDWARD BLUMENFELD PA-C
Physician Assistant (Surgical)
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727
ROBERT DOUGLAS BARKER PA-C
Physician Assistant
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727
MELANIE LOGAN PA-C
Physician Assistant
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727
BLUE SKY NEUROLOGY BST NEVADA LLC
Psychiatry & Neurology (Neurology)
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (850) 524-7447
MACKENZIE VERTNER PA-C
Physician Assistant
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727
ANNALISE DORIS GRAMMERSTORF PA-C, MPH
Physician Assistant
5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE, CO 80111
Arapahoe County (303) 436-2727

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 Lily Boettcher's NPI number?

The NPI number for Lily Boettcher is 1104679083. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Lily Boettcher located?

Lily Boettcher practices at 5600 S Quebec St Ste 312A, Greenwood Village, CO 80111. The listed phone number is (303) 436-2727.

What is Lily Boettcher's specialty?

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

Is Lily Boettcher enrolled in Medicare?

Yes. Lily Boettcher 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.

When was this NPI record last updated?

The NPPES record for Lily Boettcher was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.