LILIANA KETTENBURG
NPI 1548970817
Nurse Practitioner - Adult Health in Scottsdale, AZ

Q: What is Liliana Kettenburg's NPI number?

The NPI number for Liliana Kettenburg is 1548970817. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Q: What is Liliana Kettenburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since November 28, 2022PECOS Enrolled

7344 E DEER VALLEY RD STE 100, SCOTTSDALE, AZ 85255(480) 513-1042 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Liliana Kettenburg NPPES

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

LILIANA KETTENBURG (NPI 1548970817) is an individual adult health provider in Scottsdale, Arizona, licensed in Arizona (283861) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548970817

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLILIANA KETTENBURG

Location Address7344 E DEER VALLEY RD STE 100Scottsdale, AZ 85255-7456

Mailing Address8311 E Via De Ventura Apt 1001Scottsdale, AZ 85258-6601 · (570) 986-5111

Phone(480) 513-1042

Sole ProprietorYes

Enumeration DateNovember 28, 2022

NPPES CertifiedMay 14, 2022

✔ NPI 1548970817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · 283861

7344 E DEER VALLEY RD STE 100, Scottsdale, AZ 85255

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liliana Kettenburg 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 Liliana Kettenburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edlc, LLC

Same address

Endocrinology, Diabetes & Metabolism

7344 E DEER VALLEY RD STE 100
Scottsdale, AZ 85255

Reassigned Medicare billing, Arizona enrollment
10 clinicians in this Medicare group

NPI 1154804243 (480) 513-1042

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 85255 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 7

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

CHRISTINE ELYSE SANTOS NUTRITIONIST

Nutritionist