LILY R BRUNNER PA
NPI 1851244719
Physician Assistant in Newburgh, IN

Q: What is Lily Brunner's NPI number?

The NPI number for Lily Brunner is 1851244719. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Q: What is Lily Brunner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lily Brunner was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 February 19, 2026

4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 426-9855(812) 858-4536 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lily R Brunner Pa NPPES

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

LILY R BRUNNER PA (NPI 1851244719) is an individual physician assistant in Newburgh, Indiana, licensed in Indiana (10005210A) and active in the NPI registry since February 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1851244719

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLILY R BRUNNERCredential: PA

Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900

Mailing Address4209 Gateway BlvdNewburgh, IN 47630-8900 · (812) 426-9855 · Fax (812) 858-4536

Phone(812) 426-9855

Fax(812) 858-4536

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 19, 2026

NPPES CertifiedFebruary 19, 2026

✔ NPI 1851244719 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 IN · 10005210A

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.

4209 GATEWAY BLVD, Newburgh, IN 47630

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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 R Brunner Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284101171

PECOS Enrollment IDI20260429000230

Other Providers at the Same Location NPPES 20

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

MARGIE HUFF

Nurse Practitioner