DR. LISA R MICHELS (M.D.) – Dermatology Physician, NPI 1811082464

DR. LISA R MICHELS (M.D.) is a healthcare provider. based in Davis, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 01062566A (IN). The NPI Number for DR. LISA R MICHELS (M.D.) is 1811082464

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA R MICHELS (M.D.)
NPI
1811082464
Phone
(530) 747-5010
Address
2030 SUTTER PL STE 2200
Enumeration Date
3 October 2006
Last Update Date
30 August 2019

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8325357452
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20190412001519
Address ID
CA958165616SA2800XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. LISA R MICHELS (M.D.)

  • 2030 SUTTER PL STE 2200

    DAVIS, CA 95616

    Phone: (530) 747-5010

    Type: Location

  • 101 Bodin Cir

    60 MDG/SGOMD

    Travis AFB, CA 945351809

    Phone: (707) 423-5105

    Type: Location

  • Old Placerville Road, Rancho Cordova, Sacramento County, California, 95655, United States

    SACRAMENTO, CA 958272539

    Phone: (800) 470-0071

    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: 2019-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190412001519IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths559101$0
99214Established patient office or other outpatient visit, 30-39 minutes524310$0
11102Biopsy of related skin growth, first growth193153$0
17000Destruction of precancer skin growth, 1 growth180142$0
99213Established patient office or other outpatient visit, 20-29 minutes138116$0
View full utilization report →

Insurance plans in this area (ZIP 95616)

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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: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LISA R MICHELS (M.D.)?
DR. LISA R MICHELS (M.D.) — NPI 1811082464 — is the standard way to identify this listing.
Does CMS list DR. LISA R MICHELS (M.D.) as active?
Yes — DR. LISA R MICHELS (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. LISA R MICHELS (M.D.)?
For research purposes, treat DR. LISA R MICHELS (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. LISA R MICHELS (M.D.) serve?
DR. LISA R MICHELS (M.D.)'s listing highlights Davis, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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