MRS. KIMBERLY DAWN LILLEY FNP-C
NPI 1700064904
Nurse Practitioner - Family in Johnson City, TN

Active since February 11, 2008PECOS EnrolledAccepts Medicare Assignment
1018 CHASE DR, JOHNSON CITY, TN 37604(423) 282-3379(423) 430-6227 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2020, Oct 21, 2020 (2 updates tracked since 2020).

About Mrs. Kimberly Dawn Lilley Fnp-c NPPES

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

MRS. KIMBERLY DAWN LILLEY FNP-C (NPI 1700064904) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (APN0000024453) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).

NPPES Registry Identity

NPI1700064904
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY DAWN LILLEYCredential: FNP-C
Location Address1018 CHASE DRJohnson City, TN 37604-1402
Mailing Address1018 Chase DrJohnson City, TN 37604-1402 · (423) 282-3379 · Fax (423) 430-6227
Fax(423) 430-6227
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateFebruary 11, 2008
Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration
NPPES CertifiedMarch 18, 2024
NPI 1700064904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN0000024453
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000161066 (TN)
1018 CHASE DR, Johnson City, TN 37604

Other Names 1

Former Name (1)Kimberly Dawn Green, Young Bsn-rn, Fnp-c

Secondary Practice Location 1

Location 1926 W Oakland Ave Ste 206Johnson City, TN 37604-1445 · Phone (423) 282-3379 · Fax (423) 430-6227

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 and accepts Medicare assignment

Mrs. Kimberly Dawn Lilley 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.

PECOS PAC ID6204264724
PECOS Enrollment IDI20200317000604, I20220615000885
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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 10

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

Nurse Practitioner (Psychiatric/Mental Health)
1018 CHASE DR
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
1018 CHASE DR
JOHNSON CITY, TN 37604
Clinic/Center (Rehabilitation, Substance Use Disorder)
1018 CHASE DR
JOHNSON CITY, TN 37604
Social Worker
1018 CHASE DR
JOHNSON CITY, TN 37604
Nurse Practitioner
1018 CHASE DR
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
1018 CHASE DR
JOHNSON CITY, TN 37604
Anesthesiology (Addiction Medicine)
1018 CHASE DR
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
1018 CHASE DR
JOHNSON CITY, TN 37604

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 Kimberly Lilley's NPI number?

The NPI number for Kimberly Lilley is 1700064904. It was assigned to this individual provider in the NPPES registry on February 11, 2008. The provider is also known as Kimberly Dawn Green, Young Bsn-Rn, Fnp-C.

Where is Kimberly Lilley located?

Kimberly Lilley practices at 1018 Chase Dr, Johnson City, TN 37604. The listed phone number is (423) 282-3379.

What is Kimberly Lilley's specialty?

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

Is Kimberly Lilley enrolled in Medicare?

Yes. Kimberly Lilley 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.

What insurance does Kimberly Lilley accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Kimberly Lilley 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 Kimberly Lilley was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.