LISA A KISE (FNP) – Family Nurse Practitioner, NPI 1922257278

LISA A KISE (FNP) is a healthcare provider. based in Cocoa beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1054593 (KY). The NPI Number for LISA A KISE (FNP) is 1922257278

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA A KISE (FNP)
NPI
1922257278
Phone
(321) 799-7777
Address
275 W Cocoa Beach Cswy
Enumeration Date
11 September 2008
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032593440
Graduation Year
2004 (22 years ago)
PAC ID
7315007226
Group Practice PAC ID
6901119767
Professional Enrollment ID
I20210303001245
Address ID
CT068246019FA1055XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:17State licenses:4Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for LISA A KISE (FNP)

  • 275 W Cocoa Beach Cswy

    Cocoa Beach, FL 329313529

    Phone: (321) 799-7777

    Fax: (321) 799-1550

    Type: Location

  • 923 Jamestown Ave

    Indian Harbour Beach, FL 329372616

    Phone: (606) 369-6859

    Fax: (606) 284-3237

    Type: Location

  • 306 COMMERCE DR

    SUITE 700

    LOUISA, KY 412305063

    Phone: (606) 638-7400

    Type: Location

  • 305 W Main St

    Louisa, KY 412301219

    Phone: (606) 369-6859

    Fax: (606) 284-3237

    Type: Location

  • 134 State St

    Meriden, CT 064503293

    Phone: (203) 237-2229

    Fax: (203) 686-1677

    Type: Location

  • 263 FARMINGTON AVE

    FARMINGTON, CT 060308021

    Phone: (860) 679-4477

    Fax: (860) 679-1017

    Type: Location

  • 85 LAFAYETTE ST

    NEW BRITAIN, CT 060511803

    Phone: (860) 224-3642

    Fax: (860) 224-2760

    Type: Location

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: 2023-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210303001245INurse PractitionerCTTBD
I20230324000352INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes10097$0
87804Detection test by immunoassay with direct visual observation for influenza virus8040$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus7473$0
99214Established patient office or other outpatient visit, 30-39 minutes6867$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
View full utilization report →

Insurance plans in this area (ZIP 32931)

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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: 6901119767View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
-CT
Internal MedicineCT
Family PracticeCT
Internal MedicineCT
Emergency MedicineCT
Emergency MedicineCT
Internal MedicineCT
Family PracticeNY

Reviews

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Frequently asked questions

What identifier follows LISA A KISE (FNP) across health systems?
The NPI 1922257278 uniquely identifies LISA A KISE (FNP) in U.S. healthcare data.
Should I treat LISA A KISE (FNP) as an active provider?
Patients and plans typically see LISA A KISE (FNP) as active in the national extract.
What type of care does LISA A KISE (FNP) provide?
LISA A KISE (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA A KISE (FNP)?
LISA A KISE (FNP) shows a connection to Cocoa Beach, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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