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JACQUELINE DIANE LILLY PHD APRN BC
NPI 1114035516
Clinical Nurse Specialist in Oswego, NY

Active since August 26, 2006PECOS EnrolledAccepts Medicare Assignment
102 WEST UTICA STREET, OSWEGO, NY 13126(315) 342-2450 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Diane Lilly Phd Aprn Bc NPPES

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

JACQUELINE DIANE LILLY PHD APRN BC (NPI 1114035516) is an individual clinical nurse specialist in Oswego, New York, licensed in New York (RN2539751) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1114035516
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameJACQUELINE DIANE LILLYCredential: PHD APRN BC
Location Address102 WEST UTICA STREETOswego, NY 13126
Mailing Address102 West Utica StreetOswego, NY 13126 · (315) 342-2450
Phone(315) 342-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateAugust 26, 2006
Last NPPES UpdateOctober 17, 2007
✔ NPI 1114035516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in NY · RN2539751
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
102 WEST UTICA STREET, Oswego, NY 13126
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Other Identifiers 2

Other7493000Value Options
Medicare UPINIA1165

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jacqueline Diane Lilly Phd Aprn Bc 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 ID2860593589
PECOS Enrollment IDI20070725000491
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.

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
290 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Jacqueline Lilly's NPI number?

The NPI number for Jacqueline Lilly is 1114035516. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Jacqueline Lilly located?

Jacqueline Lilly practices at 102 West Utica Street, Oswego, NY 13126. The listed phone number is (315) 342-2450.

What is Jacqueline Lilly's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Jacqueline Lilly enrolled in Medicare?

Yes. Jacqueline Lilly 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.

What insurance does Jacqueline Lilly accept?

Health plans from Providence Health Plan list Jacqueline Lilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Lilly was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.