LILIAN YVETTE MARMOLEJO NO
NPI 1588233274
Nurse Practitioner - Family in Omaha, NE

Active since June 18, 2021PECOS Enrolled
4920 S 30TH ST, OMAHA, NE 68107(402) 734-4110 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lilian Yvette Marmolejo No NPPES

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

LILIAN YVETTE MARMOLEJO NO (NPI 1588233274) is an individual family provider in Omaha, Nebraska, licensed in Nebraska (113606) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588233274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLILIAN YVETTE MARMOLEJOCredential: NO
Location Address4920 S 30TH STOmaha, NE 68107-1590
Mailing Address4920 S 30th StOmaha, NE 68107-1590
Sole ProprietorNo
Enumeration DateJune 18, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1588233274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NE · 113606
4920 S 30TH ST, Omaha, NE 68107

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lilian Yvette Marmolejo No 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 Lilian Marmolejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4920 S 30TH ST, SUITE #103
Omaha, NE 68107
  • Reassigned Medicare billing, Nebraska enrollment
  • 98 clinicians in this Medicare group

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 68107 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 20

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

Counselor (Mental Health)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Pharmacist
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Dental Hygienist
4920 S 30TH ST
OMAHA, NE 68107
Nurse Practitioner (Family)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Technician (Personal Care Attendant)
4920 S 30TH ST
OMAHA, NE 68107
Nurse Practitioner (Family)
4920 S 30TH ST
OMAHA, NE 68107
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107

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 Lilian Marmolejo's NPI number?

The NPI number for Lilian Marmolejo is 1588233274. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Lilian Marmolejo located?

Lilian Marmolejo practices at 4920 S 30th St, Omaha, NE 68107. The listed phone number is (402) 734-4110.

What is Lilian Marmolejo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lilian Marmolejo enrolled in Medicare?

Yes. Lilian Marmolejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lilian Marmolejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilian Marmolejo reassigns Medicare benefits to Oneworld Community Health Centers, Inc. (Omaha, NE). 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 Lilian Marmolejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilian Marmolejo accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Lilian Marmolejo 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 Lilian Marmolejo was last updated on June 18, 2021. 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.