LILY MASON HEINOLD PA-C
NPI 1528958014
Physician Assistant - Surgical in Melbourne, FL

Active since July 07, 2025PECOS EnrolledAccepts Medicare Assignment
1350 HICKORY ST, MELBOURNE, FL 32901(321) 434-3455 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Oct 8, 2025, Jul 7, 2025 (3 updates tracked since 2025).

About Lily Mason Heinold Pa-c NPPES

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

LILY MASON HEINOLD PA-C (NPI 1528958014) is an individual surgical provider in Melbourne, Florida, licensed in Florida (PA9120767) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528958014
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLILY MASON HEINOLDCredential: PA-C
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 434-3455
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2025
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
NPI 1528958014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9120767
1350 HICKORY ST, Melbourne, FL 32901

Other Identifiers 2

OtherWD959FL · Hfmg
Medicaid128885300FL

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

Lily Mason Heinold Pa-c 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 ID4183113681
PECOS Enrollment IDI20251025000584
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.

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901

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 Heinold's NPI number?

The NPI number for Lily Heinold is 1528958014. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Lily Heinold located?

Lily Heinold practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 434-3455.

What is Lily Heinold's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lily Heinold enrolled in Medicare?

Yes. Lily Heinold 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.

Is Lily Heinold affiliated with any hospitals?

According to CMS data, Lily Heinold is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lily Heinold was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.