LILLIE NICOLE ROSS PA-C
NPI 1639882129
Physician Assistant in Indianapolis, IN

Active since December 30, 2022PECOS Enrolled
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-8906(317) 944-8906 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2023, Oct 26, 2023, Dec 30, 2022 (3 updates tracked since 2022).

About Lillie Nicole Ross Pa-c NPPES

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

LILLIE NICOLE ROSS PA-C (NPI 1639882129) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10004164A) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639882129
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLILLIE NICOLE ROSSCredential: PA-C
Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109
Mailing AddressPo Box 778912Chicago, IL 60677-8912 · (317) 777-6435 · Fax (317) 777-6644
Fax(317) 944-8906
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 30, 2022
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1639882129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10004164A
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lillie Nicole Ross Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961981105
PECOS Enrollment IDI20260209002271
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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Pediatrics (Pediatric Rheumatology)
705 RILEY HOSPITAL DR, RR 307
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Hematology-Oncology)
705 RILEY HOSPITAL DR, ROC 4340
INDIANAPOLIS, IN 46202
Pediatrics (Adolescent Medicine)
705 RILEY HOSPITAL DR, MSA 2
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Otolaryngology
705 RILEY HOSPITAL DR, SUITE 0860
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR, RR 208
INDIANAPOLIS, IN 46202
Pediatrics
705 RILEY HOSPITAL DR, STE 1721
INDIANAPOLIS, IN 46202
Audiologist (Assistive Technology Practitioner)
705 RILEY HOSPITAL DR, 0860
INDIANAPOLIS, IN 46202

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 Lillie Ross's NPI number?

The NPI number for Lillie Ross is 1639882129. It was assigned to this individual provider in the NPPES registry on December 30, 2022.

Where is Lillie Ross located?

Lillie Ross practices at 705 Riley Hospital Dr, Indianapolis, IN 46202. The listed phone number is (317) 944-8906.

What is Lillie Ross's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lillie Ross enrolled in Medicare?

Yes. Lillie Ross is registered in the Medicare PECOS enrollment system.

What insurance does Lillie Ross accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Lillie Ross 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 Lillie Ross was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.