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MS. LYNNETTE A DECILLIS
NPI 1164501177
Nurse Practitioner - Acute Care in San Francisco, CA

Active since November 02, 2006PECOS Enrolled
2350 GEARY BLVD, SAN FRANCISCO, CA 94115(415) 833-2000 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Mar 11, 2020 (2 updates tracked since 2020).

About Ms. Lynnette A Decillis NPPES

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

MS. LYNNETTE A DECILLIS (NPI 1164501177) is an individual acute care provider in San Francisco, California, licensed in California (NP 13102) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164501177
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. LYNNETTE A DECILLIS
Location Address2350 GEARY BLVDSan Francisco, CA 94115-3305
Mailing Address2350 Geary BlvdSan Francisco, CA 94115-3305 · (415) 833-4356
Phone(415) 833-2000
Sole ProprietorYes
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1164501177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NP 13102
2350 GEARY BLVD, San Francisco, CA 94115
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Lynnette A Willemain

Other Identifiers 2

OtherRN518440CA · Medical Provider Renderin
Other(PIN):ZZZ30041ZCA · Provider Identification #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lynnette A Decillis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

KRISTIN SUZANNE MORTIMORE PA-C
Physician Assistant (Surgical)
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-3800
KRISTINA KEILMAN MS, CGC
Genetic Counselor, MS
2350 GEARY BLVD, GENETICS, 3RD FLOOR
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-2998
MR. KEVIN NG-TANG PA-C
Internal Medicine (Gastroenterology)
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (510) 386-3177
MS. REENA J PATEL
Genetic Counselor, MS
2350 GEARY BLVD, 3RD FLOOR GENETICS DEPT.
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-3872
SUNGJOO STEPHANIE BAE MS
Genetic Counselor, MS
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-2000
KATHLEEN MARY GHANAYEM
Respiratory Therapist, Registered (Pulmonary Diagnostics)
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-8525
REGINA ELIZABETH LIU PHARMD, CDE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-0142
DR. ELIZABETH O, ROSS M.D.
Internal Medicine (Gastroenterology)
2350 GEARY BLVD
SAN FRANCISCO, CA 94115
San Francisco County (415) 833-2000

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 Lynnette Decillis's NPI number?

The NPI number for Lynnette Decillis is 1164501177. It was assigned to this individual provider in the NPPES registry on November 2, 2006. The provider is also known as Ms. Lynnette A Willemain.

Where is Lynnette Decillis located?

Lynnette Decillis practices at 2350 Geary Blvd, San Francisco, CA 94115. The listed phone number is (415) 833-2000.

What is Lynnette Decillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lynnette Decillis enrolled in Medicare?

Yes. Lynnette Decillis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lynnette Decillis was last updated on November 29, 2023. 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.