LISA M. LIVECCHI (APRN) – Family Nurse Practitioner, NPI 1013211622

LISA M. LIVECCHI (APRN) is a healthcare provider. based in Lady lake, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN9415954 (FL). The NPI Number for LISA M. LIVECCHI (APRN) is 1013211622

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LISA M. LIVECCHI (APRN)
NPI
1013211622
Phone
(352) 753-9777
Address
1400 N US Highway 441 Ste 540
Enumeration Date
23 December 2010
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3252590151
Graduation Year
2010 (16 years ago)
PAC ID
6002061330
Group Practice PAC ID
9931232063
Professional Enrollment ID
I20180505000119
Address ID
FL321632005TH2793XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LISA M. LIVECCHI (APRN)

  • 1400 N US Highway 441 Ste 540

    Lady Lake, FL 321598987

    Phone: (352) 753-9777

    Fax: (866) 446-1888

    Type: Location

  • 601 E Dixie Ave Ste 1001

    Leesburg, FL 347487309

    Phone: (352) 787-9448

    Fax: (352) 787-3250

    Type: Location

  • PO BOX 102222

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 2955 BROWNWOOD BLVD STE 107

    THE VILLAGES, FL 321632040

    Phone: (352) 765-7100

    Fax: (352) 430-0210

    Type: Location

  • 303 E 10TH AVE

    TARENTUM, PA 150841003

    Phone: (724) 224-2770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($43).

Total Amount

$221

General + Research + Ownership

Payments

9

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2018-05-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130312000349INurse PractitionerPATBD
I20180505000119INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32159)

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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: 9931232063View full group profile
NameSpecialtyState
Pediatric MedicineFL
A L L E R G Y/ I M M U N O L O G YFL
A L L E R G Y/ I M M U N O L O G YWI
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
A L L E R G Y/ I M M U N O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is LISA M. LIVECCHI (APRN) listed with a National Provider Identifier?
Yes — LISA M. LIVECCHI (APRN) has NPI 1013211622 on file in the registry.
Is there an active status for LISA M. LIVECCHI (APRN)?
For scheduling context, LISA M. LIVECCHI (APRN) is shown as active in the registry.
What area of care is associated with LISA M. LIVECCHI (APRN)?
LISA M. LIVECCHI (APRN)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is LISA M. LIVECCHI (APRN) registered?
Use Lady Lake, Florida as the headline location for LISA M. LIVECCHI (APRN) here.
When was this NPI issued?
Enumeration for LISA M. LIVECCHI (APRN) is noted as December 23, 2010 where the registry provides it.

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