LISA ELLISON (CRNP) – Family Nurse Practitioner, NPI 1164850954

LISA ELLISON (CRNP) is a healthcare provider. based in Pell city, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-063430 (AL). The NPI Number for LISA ELLISON (CRNP) is 1164850954

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA ELLISON (CRNP)
NPI
1164850954
Phone
(205) 814-9284
Address
70 PLAZA DR
Enumeration Date
15 October 2013
Last Update Date
15 October 2013

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2563297100
Graduation Year
2009 (17 years ago)
PAC ID
1951532183
Group Practice PAC ID
9133657208
Professional Enrollment ID
I20140401000525
Address ID
AL350103369AL3316X280X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for LISA ELLISON (CRNP)

  • 70 PLAZA DR

    PELL CITY, AL 351259314

    Phone: (205) 814-9284

    Fax: (205) 338-0865

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($82).

Total Amount

$227

General + Research + Ownership

Payments

11

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140401000525INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9587$0
J1100Injection, dexamethasone sodium phosphate, 1 mg4543$0
J0696Injection, ceftriaxone sodium, per 250 mg4038$0
81003Automated urinalysis test2523$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2220$0
View full utilization report →

Insurance plans in this area (ZIP 35125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133657208View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineAL
Emergency MedicineOH
Emergency Medicine, Internal MedicineNY
Emergency MedicineAL
Emergency Medicine, Internal MedicineLA
Emergency Medicine, Infectious DiseaseAL
Internal MedicineAL
Internal MedicineWV
Internal MedicineGA
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for LISA ELLISON (CRNP) in U.S. healthcare records?
The official identifier for LISA ELLISON (CRNP) is NPI 1164850954.
Would LISA ELLISON (CRNP) appear as active to a payer?
You can treat LISA ELLISON (CRNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LISA ELLISON (CRNP)?
LISA ELLISON (CRNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA ELLISON (CRNP) associated with Pell City?
Public fields place LISA ELLISON (CRNP) around Pell City, Alabama. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LISA ELLISON (CRNP) is noted as October 15, 2013 where the registry provides it.

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