LILLY PAKAWONGSE RN, MSN, CPNP-PC
NPI 1366952020
Nurse Practitioner - Pediatrics in Richmond, CA

Active since October 09, 2017PECOS EnrolledAccepts Medicare Assignment
2970 HILLTOP MALL RD STE 305, RICHMOND, CA 94806(510) 222-5437(510) 222-5487 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2022, Oct 9, 2017 (2 updates tracked since 2017).

About Lilly Pakawongse Rn, Msn, Cpnp-pc NPPES

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

LILLY PAKAWONGSE RN, MSN, CPNP-PC (NPI 1366952020) is an individual pediatrics provider in Richmond, California, licensed in California (95007505) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366952020
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLILLY PAKAWONGSECredential: RN, MSN, CPNP-PC
Location Address2970 HILLTOP MALL RD STE 305Richmond, CA 94806-5274
Mailing Address2425 Geary BlvdSan Francisco, CA 94115-3358 · (510) 541-1101
Fax(510) 222-5487
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 9, 2017
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPI 1366952020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95007505
Also ListedRegistered NurseTaxonomy 163W00000X · License 95066338 (CA)
2970 HILLTOP MALL RD STE 305, Richmond, CA 94806

Other Names 1

Other Name (5)Lilly Feldman Rn, Msn, Cpnp-pc

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

Lilly Pakawongse Rn, Msn, Cpnp-pc 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 ID9638588668
PECOS Enrollment IDI20210504001752
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94806 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Pediatrics
2970 HILLTOP MALL RD STE 305
SAN PABLO, CA 94806
Pediatrics
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Pediatrics
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806
Nurse Practitioner (Pediatrics)
2970 HILLTOP MALL RD STE 305
RICHMOND, CA 94806

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 Lilly Pakawongse's NPI number?

The NPI number for Lilly Pakawongse is 1366952020. It was assigned to this individual provider in the NPPES registry on October 9, 2017. The provider is also known as Lilly Feldman Rn, Msn, Cpnp-Pc.

Where is Lilly Pakawongse located?

Lilly Pakawongse practices at 2970 Hilltop Mall Rd Ste 305, Richmond, CA 94806. The listed phone number is (510) 222-5437.

What is Lilly Pakawongse's specialty?

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

Is Lilly Pakawongse enrolled in Medicare?

Yes. Lilly Pakawongse 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.

When was this NPI record last updated?

The NPPES record for Lilly Pakawongse was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.