LORI T BILLIARD CRNP
NPI 1790039980
Nurse Practitioner in Catasauqua, PA

Active since November 09, 2012PECOS Enrolled
840 WALNUT ST STE 2, CATASAUQUA, PA 18032(484) 272-2788(484) 526-4658 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori T Billiard Crnp NPPES

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

LORI T BILLIARD CRNP (NPI 1790039980) is an individual nurse practitioner in Catasauqua, Pennsylvania, licensed in Pennsylvania (SP012503) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790039980
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI T BILLIARDCredential: CRNP
Location Address840 WALNUT ST STE 2Catasauqua, PA 18032-1018
Mailing Address840 Walnut St Ste 2Catasauqua, PA 18032-1018 · (484) 272-2788 · Fax (484) 526-4658
Fax(484) 526-4658
Sole ProprietorYes
Enumeration DateNovember 9, 2012
Last NPPES UpdateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1790039980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP012503
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
840 WALNUT ST STE 2, Catasauqua, PA 18032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori T Billiard Crnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lori Billiard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2416 3RD AVENUE
Whitehall, PA 18052
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Urgent Care
2402 MACARTHUR RD
Whitehall, PA 18052
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
Urgent Care
575 S 9TH ST STE 7
Lehighton, PA 18235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 145 clinicians in this Medicare group

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 18032 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Lori Billiard's NPI number?

The NPI number for Lori Billiard is 1790039980. It was assigned to this individual provider in the NPPES registry on November 9, 2012.

Where is Lori Billiard located?

Lori Billiard practices at 840 Walnut St Ste 2, Catasauqua, PA 18032. The listed phone number is (484) 272-2788.

What is Lori Billiard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lori Billiard enrolled in Medicare?

Yes. Lori Billiard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lori Billiard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Billiard reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Whitehall, PA), St. Luke's Hospital (Whitehall, PA) and The Carbon Schuylkill Community Hospital, Inc. (Lehighton, PA). Each 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 Lori Billiard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Billiard was last updated on February 9, 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.