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BREANNA NICOLE LILLY CNM
NPI 1659024347
Advanced Practice Midwife in Martinsburg, WV

Active since February 02, 2022PECOS EnrolledAccepts Medicare Assignment
99 TAVERN RD, MARTINSBURG, WV 25401(304) 263-4999(304) 263-0984 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2022, Feb 2, 2022 (2 updates tracked since 2022).

About Breanna Nicole Lilly Cnm NPPES

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

BREANNA NICOLE LILLY CNM (NPI 1659024347) is an individual advanced practice midwife in Martinsburg, West Virginia, licensed in Maryland (AC004114) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Damascus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659024347
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameBREANNA NICOLE LILLYCredential: CNM
Location Address99 TAVERN RDMartinsburg, WV 25401-2890
Mailing Address26005 Ridge Rd Ste 200Damascus, MD 20872-1899 · (301) 414-2300 · Fax (301) 414-0476
Phone(304) 263-4999
Fax(304) 263-0984
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 2, 2022
Last NPPES UpdateAugust 19, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1659024347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MD · AC004114
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
99 TAVERN RD, Martinsburg, WV 25401
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Secondary Practice Location 1

Location 126005 Ridge Rd Ste 200Damascus, MD 20872-1899 · Phone (301) 414-2300 · Fax (301) 414-0476

Other Identifiers 1

Other93424WV · Wv Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

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

Breanna Nicole Lilly Cnm 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 ID7416332127
PECOS Enrollment IDI20220916000786
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 Reassignments

2

Medicare enrollment records show Breanna Lilly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Hospital, Inc.
0.8 mi
Internal Medicine
2500 HOSPITAL DR
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
NPI 1194141499 (304) 264-1249
Jefferson Memorial Hospital
13 mi
Critical Access
300 S. PRESTON STREET
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 110 clinicians in this Medicare group
NPI 1891722377 (304) 728-1600

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 25401 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

CASSIE ANN MCNAMEE
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
GIANLUCA LAMONACA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-7023
PRISCILLA BRYANT-SCHOENLY MSW
Social Worker (Clinical)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (302) 263-4999
KAREN ELIZABETH LAAKANIEMI MSN,CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 264-0660
KRISTA HOPKINS M.D.
Obstetrics & Gynecology
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
MRS. MICHELE M SHEETZ FNP
Nurse Practitioner (Family)
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999
LINDA GILLET CNM
Midwife
99 TAVERN RD
MARTINSBURG, WV 25401
Berkeley County (304) 263-4999

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 Breanna Lilly's NPI number?

The NPI number for Breanna Lilly is 1659024347. It was assigned to this individual provider in the NPPES registry on February 2, 2022.

Where is Breanna Lilly located?

Breanna Lilly practices at 99 Tavern Rd, Martinsburg, WV 25401. The listed phone number is (304) 263-4999.

What is Breanna Lilly's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Breanna Lilly enrolled in Medicare?

Yes. Breanna Lilly 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 organizations bill Medicare for Breanna Lilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Lilly reassigns Medicare benefits to 2 organizations: City Hospital, Inc. (Martinsburg, WV) and Jefferson Memorial Hospital (Ranson, WV). Each 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 Breanna Lilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Breanna Lilly accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Breanna Lilly 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 Breanna Lilly was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.