1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Nurse Practitioner
  6. NPI Profile

ANGEL LILLY APRN
NPI 1154040186
Nurse Practitioner - Family in Jacksonville, FL

Active since August 23, 2022PECOS Enrolled
11250 BAPTIST HEALTH DR, JACKSONVILLE, FL 32218(904) 442-3358 Get Directions Write a Review

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

About Angel Lilly Aprn NPPES

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

ANGEL LILLY APRN (NPI 1154040186) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11021480) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154040186
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGEL LILLYCredential: APRN
Location Address11250 BAPTIST HEALTH DRJacksonville, FL 32218-2978
Mailing Address11867 Bardin RdJacksonville, FL 32218-2103
Phone(904) 442-3358
Sole ProprietorYes
Enumeration DateAugust 23, 2022
Last NPPES UpdateAugust 25, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1154040186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11021480
11250 BAPTIST HEALTH DR, Jacksonville, FL 32218
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angel Lilly Aprn 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 Angel Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

N E Florida Internal Medicine PA
9.1 mi
Internal Medicine
2065 HERSCHEL ST
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1487724993 (904) 387-4050

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32218 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
General Acute Care Hospital
11250 BAPTIST HEALTH DR
JACKSONVILLE, FL 32218
Duval County (904) 202-6905
DAVID JONATHAN TONTO ARNP
Nurse Practitioner (Primary Care)
11250 BAPTIST HEALTH DR
JACKSONVILLE, FL 32218
Duval County (904) 202-6905

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 Angel Lilly's NPI number?

The NPI number for Angel Lilly is 1154040186. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Angel Lilly located?

Angel Lilly practices at 11250 Baptist Health Dr, Jacksonville, FL 32218. The listed phone number is (904) 442-3358.

What is Angel Lilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Angel Lilly enrolled in Medicare?

Yes. Angel Lilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angel Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angel Lilly reassigns Medicare benefits to N E Florida Internal Medicine PA (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angel Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angel Lilly was last updated on August 25, 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.