MS. LILY MACKENZIE CONNOR PA-C - NPI 1922716570 - Physician Assistant in San Francisco, CA

Q: What is Lily Connor's NPI number?

The NPI number for Lily Connor is 1922716570. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Q: What is Lily Connor'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 Connor was last updated on April 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Lily Mackenzie Connor Pa-c NPPES

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

MS. LILY MACKENZIE CONNOR PA-C (NPI 1922716570) is an individual physician assistant in San Francisco, California, licensed in California (PA61735) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Emeryville.

NPPES Registry Identity

NPI1922716570

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. LILY MACKENZIE CONNORCredential: PA-C

Location Address1375 SUTTER ST STE 105San Francisco, CA 94109-5465

Mailing Address1335 Stanford AveEmeryville, CA 94608-2536 · (510) 647-5101

Phone(415) 379-9823

Sole ProprietorYes

Enumeration DateNovember 14, 2022

Last NPPES UpdateApril 14, 20263 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1922716570 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 · PA61735

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.

1375 SUTTER ST STE 105, San Francisco, CA 94109

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Secondary Practice Location 1

Location 11335 Stanford AveEmeryville, CA 94608-2536 · Phone (510) 647-5101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lily Mackenzie Connor Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.