Stephanie Diane Lilly, PMHNP-BC, FNP-BC
NPI 1194200147ActiveIndividual· Nurse Practitioner, Family· Fort Walton Beach, FL
Nurse Practitioner, Family (PMHNP-BC, FNP-BC) with Ppcc, Inc., practicing in Fort Walton Beach, Florida. Part D covered 363 prescriptions written in 2024, 99% of them generic. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1194200147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC, FNP-BC |
| Sole proprietor | No |
| NPI issued | Sep 26, 2018 |
| Last updated in NPPES | Mar 6, 2024 |
| Certified by provider | Feb 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN79287-FNP-BC | WV |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Florida, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Stephanie Ruth Lilly · Pharmacy Technician | 1128a3 | May 20, 2015 | Live Oak, FL |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (DC); Practitioner - Nurse Practitioner (FL) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 363 · 395 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $5,593 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Ppcc, Inc.Crestview, FL · 9 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 65 family nurse practitioners in Fort Walton Beach · All family nurse practitioners in Florida