LILLIAN H PAK FNP-C
NPI 1629690946
Nurse Practitioner - Family in Lompoc, CA
About Lillian H Pak Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILLIAN H PAK FNP-C (NPI 1629690946) is an individual family provider in Lompoc, California, licensed in California (95016654) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lillian H Pak Fnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Lillian Pak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 14 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 93436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMPOC, CA 93436
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 Lillian Pak's NPI number?
The NPI number for Lillian Pak is 1629690946. It was assigned to this individual provider in the NPPES registry on May 8, 2020.
Where is Lillian Pak located?
Lillian Pak practices at 127 W Pine Ave, Lompoc, CA 93436. The listed phone number is (805) 740-2000.
What is Lillian Pak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lillian Pak enrolled in Medicare?
Yes. Lillian Pak 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.
Which organization bills Medicare for Lillian Pak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Pak reassigns Medicare benefits to Villagehealth Dm LLC (Denver, CO). 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 Lillian Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lillian Pak was last updated on July 22, 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.
# Lillian H Pak, FNP-C · NPI 1629690946
Family physician in Lompoc, California. Individual provider, active in the CMS NPPES registry since May 8, 2020.
## Identity
- **NPI:** 1629690946 (Entity type: Individual)
- **Enumerated:** May 8, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95016654 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 127 W PINE AVE, Lompoc, CA 93436-4023
- **Phone:** (805) 740-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Villagehealth Dm LLC (NPI 1598273211, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629690946) · Data from the CMS NPPES public registry.