JOANNA K LIZAK – Psychiatric/Mental Health Nurse Practitioner, NPI 1083394712

JOANNA K LIZAK is a healthcare provider. based in Liberty, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 28178390A (IN). The NPI Number for JOANNA K LIZAK is 1083394712

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA K LIZAK
NPI
1083394712
Phone
(765) 458-5191
Address
950 N Market St
Enumeration Date
18 July 2023
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7659654299
Graduation Year
2023 (3 years ago)
PAC ID
5597113563
Group Practice PAC ID
6608139621
Professional Enrollment ID
I20231201000240
Address ID
IN473745547RI101XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:2State licenses:2Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for JOANNA K LIZAK

  • 950 N Market St

    Liberty, IN 473538496

    Phone: (765) 458-5191

    Type: Location

  • 511 W COLLEGE CORNER RD

    CENTERVILLE, IN 473301167

    Phone:

    Type: Mailing

  • 2025 VIRGINIA AVE

    CONNERSVILLE, IN 473312971

    Phone: (765) 827-8064

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $854.

Total Amount is formed as General ($854) + Research ($0) + Ownership ($0) = $854.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($305).

Total Amount

$854

General + Research + Ownership

Payments

41

Total payment records

General Amount

$854

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2023-12-01

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
I20231201000240INurse PractitionerINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47353)

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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: 6608139621View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN

Reviews

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Frequently asked questions

Can I verify JOANNA K LIZAK with an NPI only?
You can start verification with NPI 1083394712 for JOANNA K LIZAK, then check state licensing separately.
Can I rely on JOANNA K LIZAK being an active provider?
As of the registry snapshot, JOANNA K LIZAK is marked active.
What is JOANNA K LIZAK's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for JOANNA K LIZAK here. Clinical services aligned with this taxonomy classification.
Where is JOANNA K LIZAK based?
JOANNA K LIZAK is tied to Liberty, Indiana in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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