Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Nicole Lilly, CNP

Individual provider Family Nurse Practitioner · NPI 1003290206

Amanda Nicole Lilly, CNP is a Nurse Practitioner in Mansfield, Ohio. Qualified in 2015, 11 years ago. Practices with Third Street Community Clinic, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

600 W 3rd St
Mansfield, OH 44906-2633
Phone: (419) 522-6191
Fax: (419) 525-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP17720 (OH)

Record details

NPI number1003290206
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Third Street Community Clinic, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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