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

Active since February 19, 2026PECOS Enrolled
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: October 25, 2026.

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 enrolled in Medicare PECOS and 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
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

Accepted Insurance

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
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 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Physician Assistant
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Internal Medicine (Interventional Cardiology)
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner
4209 GATEWAY BLVD
NEWBURGH, IN 47630

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 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.

Where is Lily Brunner located?

Lily Brunner practices at 4209 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 426-9855.

What is Lily Brunner's specialty?

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

Is Lily Brunner enrolled in Medicare?

Yes. Lily Brunner is registered in the Medicare PECOS enrollment system.

What insurance does Lily Brunner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Lily Brunner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 8 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.