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LILY HERBOLD PMHNP
NPI 1922869254
Nurse Practitioner - Psychiatric/Mental Health in Benicia, CA

Active since January 23, 2024PECOS Enrolled

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lily Herbold Pmhnp NPPES

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

LILY HERBOLD PMHNP (NPI 1922869254) is an individual psychiatric/mental health provider in Benicia, California, licensed in California (95028652) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922869254
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLILY HERBOLDCredential: PMHNP
Location Address117 E B STBenicia, CA 94510-3282
Mailing Address117 E B StBenicia, CA 94510-3282
Phone(941) 321-6236
Sole ProprietorNo
Enumeration DateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
✔ NPI 1922869254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95028652
117 E B ST, Benicia, CA 94510
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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 Herbold Pmhnp 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 94510 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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 Lily Herbold's NPI number?

The NPI number for Lily Herbold is 1922869254. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Lily Herbold located?

Lily Herbold practices at 117 E B St, Benicia, CA 94510. The listed phone number is (941) 321-6236.

What is Lily Herbold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lily Herbold enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lily Herbold was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.