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LILLIAN EKLOF DO
NPI 1669158135
Student in an Organized Health Care Education/Training Program in Flagstaff, AZ

Active since June 27, 2023PECOS Enrolled
1895 N JASPER DR STE 3, FLAGSTAFF, AZ 86001(928) 913-8800 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lillian Eklof Do NPPES

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

LILLIAN EKLOF DO (NPI 1669158135) is an individual student in an organized health care education/training program in Flagstaff, Arizona, licensed in Arizona (R4168) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669158135
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLILLIAN EKLOFCredential: DO
Location Address1895 N JASPER DR STE 3Flagstaff, AZ 86001-1632
Mailing Address1895 N Jasper Dr Ste 3Flagstaff, AZ 86001-1632 · (928) 913-8800
Phone(928) 913-8800
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2023
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1669158135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AZ · R4168
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 012522 (AZ)
1895 N JASPER DR STE 3, Flagstaff, AZ 86001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillian Eklof Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840709259
PECOS Enrollment IDI20260826004415
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 Lillian Eklof reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Arizona Healthcare Corporation
0.8 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

NORTHERN ARIZONA HEALTHCARE CORPORATION
Internal Medicine
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
EMILY MAMMENGA MD
Psychiatry & Neurology (Psychiatry)
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (289) 138-8009
URGENT CARE NORTHERN ARIZONA HEALTHCARE LLC
Clinic/Center (Urgent Care)
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
NANCY RUBALCABA
Physician Assistant
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6430
PHILLIP ALEXANDER WILLIAMS MD
Obstetrics & Gynecology
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 213-6385
GEORGE W. RODWAY PHD, APRN-NP
Nurse Practitioner
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6430
MS. KATHERINE C KINNEY MSW
Social Worker (Clinical)
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800
DR. DEMETRA DIANE BARR REYNOLDS M.D.
Family Medicine
1895 N JASPER DR STE 3
FLAGSTAFF, AZ 86001
Coconino County (928) 913-8800

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 Eklof's NPI number?

The NPI number for Lillian Eklof is 1669158135. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Lillian Eklof located?

Lillian Eklof practices at 1895 N Jasper Dr Ste 3, Flagstaff, AZ 86001. The listed phone number is (928) 913-8800.

What is Lillian Eklof's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lillian Eklof enrolled in Medicare?

Yes. Lillian Eklof is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lillian Eklof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Eklof reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). 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 Eklof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Eklof accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Lillian Eklof 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 Lillian Eklof was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.