MS. LISA MARIE NEUENFELDT (APRN) – Family Nurse Practitioner, NPI 1619290673

MS. LISA MARIE NEUENFELDT (APRN) is a healthcare provider. based in Palm coast, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. ARNP9185753 (FL). The NPI Number for MS. LISA MARIE NEUENFELDT (APRN) is 1619290673

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA MARIE NEUENFELDT (APRN)
NPI
1619290673
Phone
(386) 586-2000
Address
60 Memorial Medical Pkwy
Enumeration Date
4 March 2010
Last Update Date
27 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507630036
Graduation Year
2009 (17 years ago)
PAC ID
7911184411
Group Practice PAC ID
6901950856
Professional Enrollment ID
I20110609000790
Address ID
FL324054587PA2100XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. LISA MARIE NEUENFELDT (APRN)

  • 60 Memorial Medical Pkwy

    Palm Coast, FL 321645980

    Phone: (386) 586-2000

    Fax: (317) 705-5047

    Type: Location

  • 2422 BREEZY LN

    PANAMA CITY, FL 324053917

    Phone: (850) 258-7340

    Type: Mailing

  • 2100 STATE AVE

    PANAMA CITY, FL 324054587

    Phone: (850) 763-0036

    Fax: (850) 763-0259

    Type: Location

  • 182, North Orange Avenue, Orlando, Orange County, Florida, 32801, United States

    ORLANDO, FL 328044675

    Phone: (407) 303-2030

    Fax: (407) 303-2042

    Type: Mailing

  • Florida Hospital Flagler, 60, Memorial Medical Parkway, Palm Coast, Flagler County, Florida, 32164, United States

    PALM COAST, FL 321645980

    Phone: (386) 586-2000

    Fax: (317) 705-5047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 143 Open Payments records for all available years, with a total value of $3,078.

Total Amount is formed as General ($3,078) + Research ($0) + Ownership ($0) = $3,078.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($478).

Total Amount

$3,078

General + Research + Ownership

Payments

143

Total payment records

General Amount

$3,078

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: 2011-06-09

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
I20110609000790INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes153119$0
99213Established patient office or other outpatient visit, 20-29 minutes11089$0
View full utilization report →

Insurance plans in this area (ZIP 32164)

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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: 6901950856View full group profile
NameSpecialtyState
Hematology/Oncology, Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Hematology/Oncology, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does MS. LISA MARIE NEUENFELDT (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. LISA MARIE NEUENFELDT (APRN) uses 1619290673.
Does the file indicate MS. LISA MARIE NEUENFELDT (APRN) is practicing under active NPI?
Directory data currently reports MS. LISA MARIE NEUENFELDT (APRN) as active.
What healthcare role does MS. LISA MARIE NEUENFELDT (APRN) hold?
Scheduling teams often label MS. LISA MARIE NEUENFELDT (APRN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MS. LISA MARIE NEUENFELDT (APRN)?
MS. LISA MARIE NEUENFELDT (APRN)'s geographic hint is Palm Coast, Florida in our summary view.
Is the information about MS. LISA MARIE NEUENFELDT (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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