Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LILY WILEY MD
NPI 1730820580
Obstetrics & Gynecology in Edina, MN

Q: What is Lily Wiley's NPI number?

The NPI number for Lily Wiley is 1730820580. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Lily Wiley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lily Wiley was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 April 05, 2022PECOS Enrolled

6545 FRANCE AVE S STE 490, EDINA, MN 55435(952) 922-7600(952) 345-4448 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2026, Aug 25, 2026, Apr 5, 2022 (3 updates tracked since 2022).

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About Lily Wiley Md NPPES

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

LILY WILEY MD (NPI 1730820580) is an individual obstetrics & gynecology provider in Edina, Minnesota, licensed in Minnesota (82342) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Maple Grove, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1730820580

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameLILY WILEYCredential: MD

Location Address6545 FRANCE AVE S STE 490Edina, MN 55435-2123

Mailing Address6545 France Ave S Ste 490Edina, MN 55435-2123 · (952) 922-7600 · Fax (952) 345-4448

Phone(952) 922-7600

Fax(952) 345-4448

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1730820580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MN · 82342

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6545 FRANCE AVE S STE 490, Edina, MN 55435

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Secondary Practice Location 1

Location 115715 Grove Cir NMaple Grove, MN 55369-4490 · Phone (952) 922-7600 · Fax (952) 345-4448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4587121140

PECOS Enrollment IDI20260804003275

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 Lily Wiley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic Sofia Obgyn PA

Same address

Obstetrics & Gynecology

6545 FRANCE AVE S STE 490
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
15 clinicians in this Medicare group

NPI 1245218825 (952) 922-7600

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 55435 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 8

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

PAMELA ANNE JORDI M.D.

Obstetrics & Gynecology