LISA LINDAUER (MD) – Student in an Organized Health Care Education/Training Program, NPI 1508516477

LISA LINDAUER (MD) is a healthcare provider. based in Brooksville, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. The NPI Number for LISA LINDAUER (MD) is 1508516477

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LISA LINDAUER (MD)
NPI
1508516477
Phone
Not provided
Address
11375 CORTEZ BLVD
Enumeration Date
24 March 2022
Last Update Date
24 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527990046
Graduation Year
2021 (5 years ago)
PAC ID
3678066834
Group Practice PAC ID
1052776366
Professional Enrollment ID
I20251205000829
Address ID
FL346098102SP14690DRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for LISA LINDAUER (MD)

  • 11375 CORTEZ BLVD

    BROOKSVILLE, FL 346135409

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Boston Scientific Corporation ($24).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-12-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251205000829IInternal MedicineFLTBD

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 34613)

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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: 1052776366View full group profile
NameSpecialtyState
Internal MedicineNJ
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineTX
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Internal Medicine, HospitalistTX

Reviews

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Frequently asked questions

How do I look up LISA LINDAUER (MD) by NPI?
Use NPI 1508516477 when you need to reference LISA LINDAUER (MD) in forms, claims, or directories.
Is LISA LINDAUER (MD)'s NPI currently valid?
The extract we use shows LISA LINDAUER (MD) as active.
Does LISA LINDAUER (MD) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for LISA LINDAUER (MD). Clinical services aligned with this taxonomy classification.
What location shows for LISA LINDAUER (MD)?
We surface Brooksville, Florida for LISA LINDAUER (MD) based on available NPPES addresses.
Is LISA LINDAUER (MD) a real provider?
This page reflects official NPPES data for NPI 1508516477. Always confirm identity and privileges with the practice and licensing boards.

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