LISA ROGERS (FNP) – Family Nurse Practitioner, NPI 1083985832

LISA ROGERS (FNP) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 21472 (CA). The NPI Number for LISA ROGERS (FNP) is 1083985832

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LISA ROGERS (FNP)
NPI
1083985832
Phone
Not provided
Address
3658 BARHAM BLVD APT P304
Enumeration Date
24 January 2012
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146330011
Graduation Year
2020 (6 years ago)
PAC ID
2163726019
Group Practice PAC ID
4789083338
Professional Enrollment ID
I20170501001861
Address ID
CA928693206OR2601XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for LISA ROGERS (FNP)

  • 3658 BARHAM BLVD APT P304

    LOS ANGELES, CA 900681390

    Phone:

    Type: Mailing

  • 100 W CALIFORNIA BLVD

    PASADENA, CA 911053010

    Phone: (626) 397-8300

    Fax: (626) 697-8337

    Type: Location

  • 3658 Barham Blvd Apt P304

    Los Angeles, CA 900681390

    Phone: (407) 272-0807

    Type: Location

  • 4140 W 190TH ST

    TORRANCE, CA 905045513

    Phone: (626) 397-8300

    Fax: (626) 697-8337

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170501001861INurse PractitionerCATBD
I20200312000178INurse PractitionerNYTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes179171$0
99284Emergency department visit with moderate level of medical decision making2723$0
99291Critical care, first 30-74 minutes2323$0
99285Emergency department visit with high level of medical decision making1717$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 90068)

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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: 4789083338View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Internal Medicine, Pediatric MedicineMO
Emergency MedicineOH
Emergency MedicineNJ
Emergency MedicineCA
Diagnostic RadiologyCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency Medicine, Addiction Medicine, General Surgery, Obstetrics/Gynecology, Pain ManagementME

Reviews

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Frequently asked questions

How do I look up LISA ROGERS (FNP) by NPI?
Use NPI 1083985832 when you need to reference LISA ROGERS (FNP) in forms, claims, or directories.
Is LISA ROGERS (FNP)'s NPI currently valid?
The extract we use shows LISA ROGERS (FNP) as active.
What field does LISA ROGERS (FNP) work in?
You can think of LISA ROGERS (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LISA ROGERS (FNP)?
The snapshot lists Los Angeles, California for LISA ROGERS (FNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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