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MRS. SARAH ELLEN LILLY PA-C
NPI 1740514082
Physician Assistant in Ripon, CA

Active since September 18, 2009Opted out of Medicare · through Jan 1, 2027
150 VERA AVE, RIPON, CA 95366(209) 599-4211(209) 599-7348 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Sarah Ellen Lilly Pa-c NPPES

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

MRS. SARAH ELLEN LILLY PA-C (NPI 1740514082) is an individual physician assistant in Ripon, California, licensed in California (1086595) and active in the NPI registry since September 2009. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1740514082
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SARAH ELLEN LILLYCredential: PA-C
Location Address150 VERA AVERipon, CA 95366-2343
Mailing Address150 Vera AveRipon, CA 95366-2343 · (209) 599-4211 · Fax (209) 599-7348
Phone(209) 599-4211
Fax(209) 599-7348
Sole ProprietorNo
Enumeration DateSeptember 18, 2009
✔ NPI 1740514082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 1086595
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
150 VERA AVE, Ripon, CA 95366
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Sarah Ellen Lilly Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2025
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

TRAVIS L WOLF PA
Physician Assistant
150 VERA AVE
RIPON, CA 95366
San Joaquin County (209) 599-4211

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 Sarah Lilly's NPI number?

The NPI number for Sarah Lilly is 1740514082. It was assigned to this individual provider in the NPPES registry on September 18, 2009.

Where is Sarah Lilly located?

Sarah Lilly practices at 150 Vera Ave, Ripon, CA 95366. The listed phone number is (209) 599-4211.

What is Sarah Lilly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sarah Lilly enrolled in Medicare?

No. Sarah Lilly has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Sarah Lilly was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.