LILY WHITAKER
NPI 1700452299
Nurse Practitioner - Women's Health in Stockton, CA

Q: What is Lily Whitaker's NPI number?

The NPI number for Lily Whitaker is 1700452299. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Lily Whitaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Lily Whitaker was last updated on June 3, 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.

Active since June 03, 2021PECOS Enrolled

4555 PRECISSI LN, STOCKTON, CA 95207(209) 477-4103 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lily Whitaker NPPES

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

LILY WHITAKER (NPI 1700452299) is an individual women's health provider in Stockton, California, licensed in California (95017435) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700452299

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameLILY WHITAKER

Location Address4555 PRECISSI LNStockton, CA 95207-6239

Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526

Phone(209) 477-4103

Sole ProprietorNo

Enumeration DateJune 3, 2021

NPPES CertifiedJune 3, 2021

✔ NPI 1700452299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95017435

4555 PRECISSI LN, Stockton, CA 95207

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily Whitaker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95207 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 18

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

AURORA KAY PETTETT RN

Registered Nurse