LILY INDRAWATI CRNP
NPI 1932865417
Nurse Practitioner - Family in Scranton, PA

Q: What is Lily Indrawati's NPI number?

The NPI number for Lily Indrawati is 1932865417. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Lily Indrawati's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lily Indrawati was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 09, 2021PECOS EnrolledAccepts Medicare Assignment

90.34/100

CMS Quality Rating

746 JEFFERSON AVE, SCRANTON, PA 18510(570) 770-3000 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lily Indrawati Crnp NPPES

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

LILY INDRAWATI CRNP (NPI 1932865417) is an individual family provider in Scranton, Pennsylvania, licensed in Pennsylvania (SP024210) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932865417

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLILY INDRAWATICredential: CRNP

Location Address746 JEFFERSON AVEScranton, PA 18510-1624

Mailing Address746 Jefferson AveScranton, PA 18510-1624

Phone(570) 770-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 9, 2021

NPPES CertifiedNovember 9, 2021

✔ NPI 1932865417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP024210

746 JEFFERSON AVE, Scranton, PA 18510

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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 and accepts Medicare assignment

Lily Indrawati Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557753662

PECOS Enrollment IDI20220124001244

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

410 services186 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

217 services101 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

183 services181 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

88 services86 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.69

Promoting Interoperability

100

Improvement Activities

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.

ANDREA B STACHNICK CRNA

Nurse Anesthetist, Certified Registered

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 348-7127

MR. FREDERICK JOSEPH WEBER PHYSICIAN ASSISTANT

Physician Assistant (Surgical)

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 348-7100

SCRANTON HOSPITALIST PHYSICIAN SERVICES LLC

Radiology (Diagnostic Radiology)

746 JEFFERSON AVE, 4TH FLOOR
SCRANTON, PA 18510

Lackawanna County (570) 340-5079

CASEY JEANNE HUGHES CRNP

Nurse Practitioner (Acute Care)

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 470-2591

MISS KELLY ELIZABETH ROYER

Physician Assistant

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 770-3000

JOHN P LUNDIN M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

746 JEFFERSON AVE, SUITE 305
SCRANTON, PA 18510

Lackawanna County (570) 342-1776

SANFORD HOLLAND MD

Anesthesiology

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 348-7100

JUDITH EMILY ROGERS CRNP

Nurse Practitioner

746 JEFFERSON AVE
SCRANTON, PA 18510

Lackawanna County (570) 348-7100

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 Indrawati's NPI number?

The NPI number for Lily Indrawati is 1932865417. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Lily Indrawati located?

Lily Indrawati practices at 746 Jefferson Ave, Scranton, PA 18510. The listed phone number is (570) 770-3000.

What is Lily Indrawati's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lily Indrawati enrolled in Medicare?

Yes. Lily Indrawati is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lily Indrawati affiliated with any hospitals?

According to CMS data, Lily Indrawati is affiliated with Geisinger-Community Medical Center, Wilkes-Barre General Hospital and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Lily Indrawati was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.