LISA R PONSFORD (DNP) – Family Nurse Practitioner, NPI 1720004088
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for LISA R PONSFORD (DNP)
4950 Barranca Pkwy Ste 104
Irvine, CA 926048644
Phone: (949) 857-1248
Fax: (949) 559-1165
Type: Location
54701 FILE NUMBER
LOS ANGELES, CA 900744701
Phone: (909) 558-3111
Type: Mailing
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
LOMA LINDA, CA 923542804
Phone: (909) 558-4344
Type: Location
PO BOX 2218
SUISUN CITY, CA 945855218
Phone: (657) 241-3600
Fax: (657) 241-7708
Type: Mailing
660 BAKER ST STE A102
COSTA MESA, CA 926264407
Phone: (714) 668-2505
Fax: (714) 668-2515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-08-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($138).
Total Amount
$156
General + Research + Ownership
Payments
3
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $138 |
| GlaxoSmithKline, LLC. | $18 |
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: 2004-09-17
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 |
|---|---|---|---|---|
| I20040917000851 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 92604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
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