LILLY KATHERINE DICKENS DNP
NPI 1184269516
Nurse Practitioner - Primary Care in Scotts Valley, CA

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment
4663 SCOTTS VALLEY DR, SCOTTS VALLEY, CA 95066(831) 458-6330 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2023, Mar 5, 2023, Nov 8, 2019 (3 updates tracked since 2019).

About Lilly Katherine Dickens Dnp NPPES

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

LILLY KATHERINE DICKENS DNP (NPI 1184269516) is an individual primary care provider in Scotts Valley, California, licensed in California (95024318) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184269516
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLILLY KATHERINE DICKENSCredential: DNP
Location Address4663 SCOTTS VALLEY DRScotts Valley, CA 95066-4202
Mailing Address4663 Scotts Valley DrScotts Valley, CA 95066-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2019
Last NPPES UpdateJune 22, 20233 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1184269516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95024318
Also ListedRegistered NurseTaxonomy 163W00000X · License 95204741 (CA)
4663 SCOTTS VALLEY DR, Scotts Valley, CA 95066

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

Lilly Katherine Dickens Dnp 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 ID3173981552
PECOS Enrollment IDI20230615003648
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
128 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
28 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95066 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
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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.

Internal Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Family Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Emergency Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Family Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Emergency Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Family Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Nurse Practitioner
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066
Internal Medicine
4663 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 95066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184269516, enumerated as an "individual" on November 08, 2019.

The provider is located at 4663 SCOTTS VALLEY DR SCOTTS VALLEY, CA 95066 and the phone number is (831) 458-6330.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.