LISA ANNE YOUNGBLOOD (RN NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1801843941
Psychiatric/Mental Health 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 ANNE YOUNGBLOOD (RN NP)
PO BOX 609001
SAN DIEGO, CA 921609001
Phone: (619) 528-4600
Fax: (619) 528-4625
Type: Mailing
103 HALF MOON CIR APT C2
HYPOLUXO, FL 334625494
Phone: (515) 381-8825
Type: Mailing
1055 WILSHIRE BLVD STE 1705
LOS ANGELES, CA 900175600
Phone: (310) 871-0670
Fax: (619) 667-0815
Type: Location
655 Redwood Hwy Frontage Rd
Mill Valley, CA 949413034
Phone: (866) 247-4292
Type: Location
12200 FOREST HILL BLVD
WELLINGTON, FL 334145795
Phone: (561) 303-0433
Type: Location
4700, Spring Street, La Mesa, San Diego County, California, 91942, United States
STE 220
LA MESA, CA 919415274
Phone: (619) 667-3380
Fax: (619) 667-0815
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-02-15 • Largest payer in this snapshot: ABBVIE INC. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $30 |
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: 2021-03-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060717000169 | I | Nurse Practitioner | CA | TBD |
| I20210322001737 | I | Nurse Practitioner | FL | 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 | 82 | 30 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 92160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Psychiatry, Geriatric Psychiatry | CA | |
| Nurse Practitioner | TN |
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