LILY WELLNESS AND PRIMARY CARE LLC
NPI 1225841133
Nurse Practitioner in Leawood, KS

Active since January 27, 2025
11111 NALL AVE STE 103, LEAWOOD, KS 66211(913) 322-6675(888) 778-9471 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lily Wellness And Primary Care Llc NPPES

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

LILY WELLNESS AND PRIMARY CARE LLC (NPI 1225841133) is a healthcare organization registered as a nurse practitioner in Leawood, Kansas and active in the NPI registry since January 2025. The organization lists Danielle A Holloway, Owner, as its authorized official.

NPPES Registry Identity

NPI1225841133
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLILY WELLNESS AND PRIMARY CARE LLC
Location Address11111 NALL AVE STE 103Leawood, KS 66211-1625
Mailing Address11111 Nall Ave Ste 103Leawood, KS 66211-1625 · (913) 322-6675 · Fax (888) 778-9471
Fax(888) 778-9471
Organization SubpartNo
Authorized OfficialDanielle A HollowayOwner · (913) 322-6675
Enumeration DateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1225841133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11111 NALL AVE STE 103, Leawood, KS 66211

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Wellness And Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lily Wellness And Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265831994
8501 W 95TH ST
Overland Park, KS 66212
(913) 323-8880
✔ PECOS✔ Accepts Medicare2.8 mi

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

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 Lily Wellness And Primary Care LLC's NPI number?

The NPI number for Lily Wellness And Primary Care LLC is 1225841133. It was assigned to this organization in the NPPES registry on January 27, 2025.

Where is Lily Wellness And Primary Care LLC located?

Lily Wellness And Primary Care LLC is located at 11111 Nall Ave Ste 103, Leawood, KS 66211. The listed phone number is (913) 322-6675.

What is Lily Wellness And Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lily Wellness And Primary Care LLC enrolled in Medicare?

Yes. Lily Wellness And Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lily Wellness And Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lily Wellness And Primary Care LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lily Wellness And Primary Care LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.