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APRIL LYNN LILLY PNP-BC
NPI 1346498466
Nurse Practitioner - Pediatrics in Beckley, WV

Active since September 03, 2008PECOS Enrolled
252 RURAL ACRES DR., BECKLEY, WV 25801(304) 252-8555 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About April Lynn Lilly Pnp-bc NPPES

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

APRIL LYNN LILLY PNP-BC (NPI 1346498466) is an individual pediatrics provider in Beckley, West Virginia, licensed in West Virginia (52996) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346498466
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAPRIL LYNN LILLYCredential: PNP-BC
Location Address252 RURAL ACRES DR.Beckley, WV 25801-3503
Mailing Address252 Rural Acres Dr.Beckley, WV 25801-3503 · (304) 252-8324
Phone(304) 252-8555
Sole ProprietorNo
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1346498466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WV · 52996
252 RURAL ACRES DR., Beckley, WV 25801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

April Lynn Lilly Pnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show April Lilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Systems, Inc.
0.3 mi
Federally Qualified Health Center (FQHC)
228 MELON ST
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 107 clinicians in this Medicare group
NPI 1588738538 (304) 252-8551

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 25801 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,350 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%346 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 April Lilly's NPI number?

The NPI number for April Lilly is 1346498466. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is April Lilly located?

April Lilly practices at 252 Rural Acres Dr., Beckley, WV 25801. The listed phone number is (304) 252-8555.

What is April Lilly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is April Lilly enrolled in Medicare?

Yes. April Lilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for April Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), April Lilly reassigns Medicare benefits to Community Health Systems, Inc. (Beckley, WV). The 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 April Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does April Lilly accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list April 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 April Lilly was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.