SARICA LILLIE CNP
NPI 1326568528
Nurse Practitioner in West Union, OH

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
76.08/100
CMS Quality Rating
90 CIC BLVD, WEST UNION, OH 45693(937) 544-8989(937) 544-5659 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2020, Jul 20, 2020, Apr 8, 2020 and 4 more (7 updates tracked since 2017).

About Sarica Lillie Cnp NPPES

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

SARICA LILLIE CNP (NPI 1326568528) is an individual nurse practitioner in West Union, Ohio, licensed in Ohio (APRN.CNP.020962) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1326568528
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARICA LILLIECredential: CNP
Location Address90 CIC BLVDWest Union, OH 45693-8024
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8034 · Fax (740) 353-7900
Fax(937) 544-5659
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateDecember 21, 20207 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
NPI 1326568528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.020962
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.
90 CIC BLVD, West Union, OH 45693

Other Identifiers 1

Other311443010OH · Southern Ohio Surgical Associates, Inc.

Accepted Insurance

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

Sarica Lillie Cnp 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 ID3072884956
PECOS Enrollment IDI20170810003694
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 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 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.
91 services89 patients
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.
31 services31 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45693 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.17
Promoting Interoperability100
Improvement Activities40
Cost43.98

Other Providers at the Same Location NPPES 12

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

Pharmacist
90 CIC BLVD
WEST UNION, OH 45693
Family Medicine
90 CIC BLVD
WEST UNION, OH 45693
Nurse Practitioner (Family)
90 CIC BLVD
WEST UNION, OH 45693
Pharmacy Technician
90 CIC BLVD
WEST UNION, OH 45693
Pharmacist
90 CIC BLVD
WEST UNION, OH 45693
Pharmacy (Community/Retail Pharmacy)
90 CIC BLVD
WEST UNION, OH 45693
Nurse Practitioner
90 CIC BLVD
WEST UNION, OH 45693
Family Medicine
90 CIC BLVD
WEST UNION, OH 45693

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 Sarica Lillie's NPI number?

The NPI number for Sarica Lillie is 1326568528. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Sarica Lillie located?

Sarica Lillie practices at 90 Cic Blvd, West Union, OH 45693. The listed phone number is (937) 544-8989.

What is Sarica Lillie's specialty?

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

Is Sarica Lillie enrolled in Medicare?

Yes. Sarica Lillie 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.

What insurance does Sarica Lillie accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Sarica Lillie 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.

Is Sarica Lillie affiliated with any hospitals?

According to CMS data, Sarica Lillie is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Sarica Lillie was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.