1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Nurse Practitioner
  6. NPI Profile

MRS. STEPHANIE DIANE LILLY PMHNP-BC, FNP-BC
NPI 1194200147
Nurse Practitioner - Family in Fort Walton Beach, FL

Active since September 26, 2018PECOS EnrolledAccepts Medicare Assignment
1702 CONSERVATION TRL UNIT 104, FORT WALTON BEACH, FL 32547(304) 731-5195(202) 951-6439 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 6, 2024, Sep 26, 2018 (2 updates tracked since 2018).

About Mrs. Stephanie Diane Lilly Pmhnp-bc, Fnp-bc NPPES

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

MRS. STEPHANIE DIANE LILLY PMHNP-BC, FNP-BC (NPI 1194200147) is an individual family provider in Fort Walton Beach, Florida, licensed in West Virginia (APRN79287-FNP-BC) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194200147
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. STEPHANIE DIANE LILLYCredential: PMHNP-BC, FNP-BC
Location Address1702 CONSERVATION TRL UNIT 104Fort Walton Beach, FL 32547-5087
Mailing Address1702 Conservation Trl Unit 104Fort Walton Beach, FL 32547-5087 · (304) 731-5195 · Fax (202) 951-6439
Phone(304) 731-5195
Fax(202) 951-6439
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 26, 2018
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2024
✔ NPI 1194200147 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 WV · APRN79287-FNP-BC
1702 CONSERVATION TRL UNIT 104, Fort Walton Beach, FL 32547
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stephanie Diane Lilly Pmhnp-bc, Fnp-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 ID3779828496
PECOS Enrollment IDI20240506004459
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 Reassignments

3

Medicare enrollment records show Stephanie Lilly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ppcc, Inc.
22 mi
Mental Health
259 E OAKDALE AVE
Crestview, FL 32539
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
NPI 1164747739 (850) 398-5255
Grow Healthcare Group PA
509 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Spring Leaf Solutions, LLC
802 mi
Community/Behavioral Health
6323 GEORGIA AVE NW STE 200
Washington, DC 20011
  • Reassigned Medicare billing, District of Columbia enrollment
  • 4 clinicians in this Medicare group
NPI 1811495567 (202) 525-3954

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 32547 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

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

WALDEN LILLY LLC
Nurse Practitioner (Psychiatric/Mental Health)
1702 CONSERVATION TRL UNIT 104
FORT WALTON BEACH, FL 32547
Okaloosa County (304) 731-5195

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 Stephanie Lilly's NPI number?

The NPI number for Stephanie Lilly is 1194200147. It was assigned to this individual provider in the NPPES registry on September 26, 2018.

Where is Stephanie Lilly located?

Stephanie Lilly practices at 1702 Conservation Trl Unit 104, Fort Walton Beach, FL 32547. The listed phone number is (304) 731-5195.

What is Stephanie Lilly's specialty?

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

Is Stephanie Lilly enrolled in Medicare?

Yes. Stephanie 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.

Which organizations bill Medicare for Stephanie Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Lilly reassigns Medicare benefits to 3 organizations: Ppcc, Inc. (Crestview, FL), Grow Healthcare Group PA (Miami, FL) and Spring Leaf Solutions, LLC (Washington, DC). Each 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 Stephanie Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Lilly accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Stephanie 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 Stephanie Lilly was last updated on March 6, 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.