Amanda Nicole Lilly, CNP - Medicare Nurse Practitioner in Mansfield, OH

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Amanda Nicole Lilly, CNP is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Ohio. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Third Street Community Clinic, Inc. and her current practice location is 600 W 3rd St, Mansfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 522-6191.

Amanda Nicole Lilly is licensed to practice in Ohio (license number NP17720) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003290206.

Contact Information

Amanda Nicole Lilly, CNP
600 W 3rd St,
Mansfield, OH 44906-2633
(419) 522-6191
(419) 525-6723

Map and Direction




Provider's Profile

Full NameAmanda Nicole Lilly
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location600 W 3rd St, Mansfield, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Nicole Lilly graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1003290206
  • Provider Enumeration Date: 07/17/2015
  • Last Update Date: 05/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0941514053
  • Enrollment ID: I20150803002727

Medical Identifiers

Medical identifiers for Amanda Nicole Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003290206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP17720 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Methodist HospitalColumbus, OHHospital
Ohiohealth Mansfield HospitalMansfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Third Street Community Clinic, Inc.236542397728

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Nicole Lilly allows following entities to bill medicare on her behalf.
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649599119
PECOS PAC ID: 2365423977
Enrollment ID: O20040528000770
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1336252519
PECOS PAC ID: 2365423977
Enrollment ID: O20071009000076
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720407554
PECOS PAC ID: 2365423977
Enrollment ID: O20141020001750
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306499314
PECOS PAC ID: 2365423977
Enrollment ID: O20200420003356
Entity NameThird Street Community Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629620109
PECOS PAC ID: 2365423977
Enrollment ID: O20200520001554

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nicole Lilly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Nicole Lilly, CNP
600 W 3rd St,
Mansfield, OH 44906-2633

Ph: (419) 522-6191		Amanda Nicole Lilly, CNP
600 W 3rd St,
Mansfield, OH 44906-2633

Ph: (419) 522-6191

Reviews and Comments


Nurse Practitioner Nurses in Mansfield, OH

Brianna Cassidy, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 W 3rd St, Mansfield, OH 44906
Phone: 419-522-6191    
Laura Mae Blanton,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1221 S Trimble Rd, Mansfield, OH 44907
Phone: 419-951-2020    
Denise Lynn Berger, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2615 Springmill West Rd, Mansfield, OH 44903
Phone: 419-560-8141    
Mrs. Angela Lynn Granson, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 70 Madison Rd, Mansfield, OH 44905
Phone: 419-589-9700    Fax: 419-589-2731
Shannon Arlene Trzcinski, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 661 S Trimble Rd, Mansfield, OH 44906
Phone: 419-774-0478    Fax: 419-774-9887
Jesse W Glass, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1150 N Main St, Mansfield, OH 44903
Phone: 740-361-9355    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.