MS. LISA S. PARK (NP) – Acute Care Nurse Practitioner, NPI 1225549082

MS. LISA S. PARK (NP) is a healthcare provider. based in Palo alto, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 209011661 (IL). The NPI Number for MS. LISA S. PARK (NP) is 1225549082

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA S. PARK (NP)
NPI
1225549082
Phone
(650) 723-4000
Address
300 Pasteur Dr
Enumeration Date
19 October 2017
Last Update Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
1254695901
Group Practice PAC ID
1355249491
Professional Enrollment ID
I20180503001590
Address ID
CA900958358LO757XXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MS. LISA S. PARK (NP)

  • 300 Pasteur Dr

    Palo Alto, CA 94305

    Phone: (650) 723-4000

    Type: Location

  • 1301 20th St Ste 150

    Santa Monica, CA 904042050

    Phone: (310) 582-7641

    Fax: (310) 315-4069

    Type: Location

  • Stanford Hospital, 300, Pasteur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305, United States

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

  • 20th Street, Santa Monica, Los Angeles County, California, 90404, United States

    SANTA MONICA, CA 904042050

    Phone: (310) 582-7641

    Fax: (310) 315-4069

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 757 WESTWOOD PLZ

    LOS ANGELES, CA 900958358

    Phone: (310) 825-9111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-05-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-05-03

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
I20180503001590INurse PractitionerCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2316$0
99238Hospital discharge day management, 30 minutes or less1919$0
View full utilization report →

Insurance plans in this area (ZIP 94305)

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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: 1355249491View full group profile
NameSpecialtyState
Physician AssistantCA
Neurology, Critical Care (Intensivists)CA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Nurse PractitionerCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Physical Medicine And RehabilitationCA
N E U R O S U R G E R YCA

Reviews

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Frequently asked questions

What is the registry number for MS. LISA S. PARK (NP)?
The registry entry for MS. LISA S. PARK (NP) shows NPI 1225549082.
Does the public listing show MS. LISA S. PARK (NP) as active?
MS. LISA S. PARK (NP)'s NPI record reflects an active status in NPPES.
Which specialty label fits MS. LISA S. PARK (NP)?
NPPES ties MS. LISA S. PARK (NP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. LISA S. PARK (NP) tied to Palo Alto, California?
If you are local to Palo Alto, California, MS. LISA S. PARK (NP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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