LISA ANNE KNOLL (APRN) – Primary Care Nurse Practitioner, NPI 1740766500
Primary Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
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Provider Addresses for LISA ANNE KNOLL (APRN)
96, Pheasant Hill Drive, West Hartford, Hartford County, Connecticut, 06107, United States
WEST HARTFORD, CT 061073330
Phone: (860) 712-3623
Type: Mailing
Veterans Administration Medical Center, 950, Campbell Avenue, West Haven, New Haven County, Connecticut, 06516, United States
WEST HAVEN, CT 065162770
Phone: (203) 932-5711
Type: Location
20 ISHAM RD
WEST HARTFORD, CT 061072204
Phone: (860) 527-1669
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $1,330.
Total Amount is formed as General ($1,330) + Research ($0) + Ownership ($0) = $1,330.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($330).
Total Amount
$1,330
General + Research + Ownership
Payments
54
Total payment records
General Amount
$1,330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $330 |
| ABBVIE INC. | $164 |
| PFIZER INC. | $149 |
| Novo Nordisk Inc | $69 |
| Lundbeck LLC | $53 |
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: 2019-07-05
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 |
|---|---|---|---|---|
| I20190705000691 | I | Nurse Practitioner | CT | 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 | 298 | 177 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 108 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 130 | 130 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 29 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 29 | 29 | $0 |
Insurance plans in this area (ZIP 06107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Gastroenterology, Internal Medicine | CT | |
| Pulmonary Disease, Internal Medicine | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Internal Medicine, Gastroenterology | CT | |
| Geriatric Medicine, Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT |
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