LISA HOPE GROSSMAN (PA) – Physician Assistant, NPI 1619070828

LISA HOPE GROSSMAN (PA) is a healthcare provider. based in Ft lauderdale, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA107970 (FL). The NPI Number for LISA HOPE GROSSMAN (PA) is 1619070828

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
LISA HOPE GROSSMAN (PA)
NPI
1619070828
Phone
(954) 357-5775
Address
400 NE 4TH STREET
Enumeration Date
6 September 2006
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546331422
Graduation Year
2014 (12 years ago)
PAC ID
2769802149
Group Practice PAC ID
5496762171
Professional Enrollment ID
I20210108001017
Address ID
FL330733354CO4450XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for LISA HOPE GROSSMAN (PA)

  • 400, Northeast 4th Street, Fort Lauderdale, Broward County, Florida, 33301, United States

    NJCC

    FT LAUDERDALE, FL 33301

    Phone: (954) 357-5775

    Fax: (718) 279-0986

    Type: Mailing

  • 1611 S FEDERAL HWY

    POMPANO BEACH, FL 330627514

    Phone: (954) 580-4001

    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: 2021-01-08

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
I20210108001017IPhysician 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
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)9593$0
99203New patient office or other outpatient visit, 30-44 minutes8888$0
99213Established patient office or other outpatient visit, 20-29 minutes8678$0
87804Detection test by immunoassay with direct visual observation for influenza virus5050$0
71046X-ray of chest, 2 views3231$0
View full utilization report →

Insurance plans in this area (ZIP 33301)

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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: 5496762171View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantTX
-FL
Nurse PractitionerNY
-FL
-NC
Physician AssistantFL
Physician AssistantFL
Family PracticeFL
Physician AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for LISA HOPE GROSSMAN (PA) in U.S. healthcare records?
The official identifier for LISA HOPE GROSSMAN (PA) is NPI 1619070828.
Is LISA HOPE GROSSMAN (PA) shown as active in public data?
Registry records indicate LISA HOPE GROSSMAN (PA) maintains an active NPI.
What clinical focus is listed for LISA HOPE GROSSMAN (PA)?
At a glance, LISA HOPE GROSSMAN (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA HOPE GROSSMAN (PA)?
Directory geography for LISA HOPE GROSSMAN (PA) centers on Ft Lauderdale, Florida.
When was this NPI issued?
Enumeration for LISA HOPE GROSSMAN (PA) is noted as September 6, 2006 where the registry provides it.

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