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LILY LINES FNP
NPI 1306661921
Nurse Practitioner - Family in Mesa, AZ

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
5555 E BASELINE RD, MESA, AZ 85206(480) 393-0575 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About Lily Lines Fnp NPPES

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

LILY LINES FNP (NPI 1306661921) is an individual family provider in Mesa, Arizona, licensed in Arizona (318624) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1306661921
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILY LINESCredential: FNP
Location Address5555 E BASELINE RDMesa, AZ 85206-4709
Mailing Address5555 E Baseline RdMesa, AZ 85206-4709 · (480) 393-0575
Phone(480) 393-0575
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1306661921 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
Licenses✔ Licensed in AZ · 318624✔ Licensed in UT · 12931174-4405
5555 E BASELINE RD, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Location 1

Location 139 E 600 N Apt 109Provo, UT 84606-2726 · Phone (480) 646-7486

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Lily Lines Fnp 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 ID5294256442
PECOS Enrollment IDI20250305000593
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

2

Medicare enrollment records show Lily Lines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Reddy Gi Associates
Same address
Gastroenterology
5555 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 21 clinicians in this Medicare group
NPI 1194957241 (480) 393-0575
Chikwendu C Nwosu MD LLC
4.6 mi
Internal Medicine
2919 S ELLSWORTH RD STE 139
Mesa, AZ 85212
  • Reassigned Medicare billing, Arizona enrollment
  • 9 clinicians in this Medicare group
NPI 1508155979 (480) 984-5225

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 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 15

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

DR. RAUL A. LOPEZ GONZALEZ M.D.
Surgery
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
DR. SUDHAKAR A REDDY MD
Internal Medicine (Gastroenterology)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-5075
MARIA NORIVIC LARAYA SORIANO NP
Nurse Practitioner (Family)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
REDDY GI ASSOCIATES
Internal Medicine (Gastroenterology)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
MISS ASHLEY SILVEY AGACNP-BC
Nurse Practitioner
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
REDDY GI ASSOCIATES
Clinic/Center (Ambulatory Surgical)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
SHAHBAZ QURESHI MD
Internal Medicine (Gastroenterology)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575
DR. CHRISTOPHER JOSEPH MORGAN DO
Pathology (Anatomic Pathology & Clinical Pathology)
5555 E BASELINE RD
MESA, AZ 85206
Maricopa County (480) 393-0575

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 Lines's NPI number?

The NPI number for Lily Lines is 1306661921. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Lily Lines located?

Lily Lines practices at 5555 E Baseline Rd, Mesa, AZ 85206. The listed phone number is (480) 393-0575.

What is Lily Lines's specialty?

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

Is Lily Lines enrolled in Medicare?

Yes. Lily Lines 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 Lily Lines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Lines reassigns Medicare benefits to 2 organizations: Reddy Gi Associates (Mesa, AZ) and Chikwendu C Nwosu MD LLC (Mesa, AZ). 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 Lily Lines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Lines accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Lily Lines 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 Lily Lines was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.