LISA M GORMAN (FNP) – Nurse Practitioner, NPI 1619536844
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,949 NURSE PRACTITIONER in NV
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Provider Addresses for LISA M GORMAN (FNP)
200, South Park Road, Hollywood, Broward County, Florida, 33021, United States
HOLLYWOOD, FL 330218541
Phone: (954) 607-9826
Fax: (954) 923-1299
Type: Mailing
North Durango Drive, Las Vegas, Clark County, Nevada, 89159, United States
LAS VEGAS, NV 891493916
Phone: (954) 923-7440
Fax: (954) 923-1299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $304.
Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Alkermes, Inc. ($156).
Total Amount
$304
General + Research + Ownership
Payments
11
Total payment records
General Amount
$304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $156 |
| ABBVIE INC. | $94 |
| Merck Sharp & Dohme LLC | $32 |
| Almatica Pharma LLC | $23 |
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: 2019-06-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190628002678 | I | Nurse Practitioner | NV | TBD |
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.
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 33021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV |
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