MS. LISA KORIN (PA) – Physician Assistant, NPI 1578544045

MS. LISA KORIN (PA) is a healthcare provider. based in Lakeland, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9101933 (FL). The NPI Number for MS. LISA KORIN (PA) is 1578544045

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA KORIN (PA)
NPI
1578544045
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
10 November 2005
Last Update Date
10 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8639046200
Graduation Year
2001 (25 years ago)
PAC ID
7810913795
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20051020000122
Address ID
FL338053109LA1755XAVEX400

Contacts

Secure Messaging
lkorin6787@direct.watsonclinicad.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MS. LISA KORIN (PA)

  • 1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 33805

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • 1755, North Florida Avenue, Lakeland, Polk County, Florida, 33805, United States

    LAKELAND, FL 33805

    Phone: (863) 904-6201

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ABBVIE INC. ($39).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2005-10-20

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
I20051020000122IPhysician AssistantFLTBD

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 growths990191$0
99213Established patient office or other outpatient visit, 20-29 minutes390324$0
17000Destruction of precancer skin growth, 1 growth306261$0
99214Established patient office or other outpatient visit, 30-39 minutes300253$0
17110Destruction of skin growth, 1-14 growths218180$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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Provider's Procedures

MS. LISA KORIN (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL11101Biopsy of each additional growth of skin and/or tissue174109
PHYSICIAN ASSISTANTFL17003Destruction of 2-14 skin growths1393243

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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is MS. LISA KORIN (PA) listed with a National Provider Identifier?
Yes — MS. LISA KORIN (PA) has NPI 1578544045 on file in the registry.
Is MS. LISA KORIN (PA) still an active registrant?
MS. LISA KORIN (PA) carries an active NPI according to the public dataset.
How would a patient describe MS. LISA KORIN (PA)'s focus?
For MS. LISA KORIN (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. LISA KORIN (PA) located near Lakeland?
MS. LISA KORIN (PA) currently maps to Lakeland, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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