LISA DE LA FUENTE (C.N.M.) – Advanced Practice Midwife, NPI 1023038130
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LISA DE LA FUENTE (C.N.M.)
30, Seawolf Passage, Meadowsweet, Corte Madera, Marin County, California, 94925, United States
CORTE MADERA, CA 949251823
Phone: (415) 271-0979
Type: Location
Jack in the Box, 5800, Freeport Boulevard, Sacramento, Sacramento County, California, 95822, United States
SACRAMENTO, CA 958654869
Phone: (916) 854-6975
Fax: (916) 854-6864
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($73).
Total Amount
$111
General + Research + Ownership
Payments
7
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $73 |
| MAYNE PHARMA COMMERCIAL LLC | $30 |
| Organon LLC | $9 |
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: 2005-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050412001069 | I | Certified Nurse Midwife (Cnm) | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94925)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Surgical Oncology | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA | |
| - | CA |
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