LIVIA DE SOUZA LISBOA (MS, PA-C) – Physician Assistant, NPI 1164949350

LIVIA DE SOUZA LISBOA (MS, PA-C) is a healthcare provider. based in Lafayette, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MS, PA-C. They hold a License No. 085006328 (IL). The NPI Number for LIVIA DE SOUZA LISBOA (MS, PA-C) is 1164949350

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LIVIA DE SOUZA LISBOA (MS, PA-C)
NPI
1164949350
Phone
(776) 775-2800
Address
3900 St Francis Way Ste 200
Enumeration Date
28 August 2017
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6304168500
Graduation Year
2017 (9 years ago)
PAC ID
1355697384
Group Practice PAC ID
2860304102
Professional Enrollment ID
I20180705002970

Contacts

Secure Messaging
livia-lisboa@outlook.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness95
Years active:8State licenses:1Other names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for LIVIA DE SOUZA LISBOA (MS, PA-C)

  • 3900 St Francis Way Ste 200

    Lafayette, IN 479054940

    Phone: (776) 775-2800

    Type: Location

  • Cardiac Surgery Associates at Presence Mercy

    1325 N Highland

    Aurora, IL 605061449

    Phone: (630) 801-5700

    Type: Location

  • Warrenville Rd, 2655, Warrenville Road, Downers Grove, DuPage County, Illinois, 60515, United States

    DOWNERS GROVE, IL 605152075

    Phone: (630) 324-7900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $3,106.

Total Amount is formed as General ($3,106) + Research ($0) + Ownership ($0) = $3,106.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABIOMED ($1,479).

Total Amount

$3,106

General + Research + Ownership

Payments

34

Total payment records

General Amount

$3,106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180705002970IPhysician AssistantILTBD
I20230131002187IPhysician AssistantINTBD
I20231101000918IPhysician AssistantWITBD

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
33533Coronary artery bypass using artery graft, 1 graft2121$0
33508Harvest of vein using an endoscope2020$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1111$0
View full utilization report →

Insurance plans in this area (ZIP 47905)

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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: 2860304102View full group profile
NameSpecialtyState
Thoracic SurgeryMD
-IL
Nurse PractitionerIN
Nurse PractitionerIL
Physician AssistantIL
-IL
Physician AssistantIN
Physician AssistantIL
Physician AssistantIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the standard ID for LIVIA DE SOUZA LISBOA (MS, PA-C) in the U.S.?
In the U.S., LIVIA DE SOUZA LISBOA (MS, PA-C) is identified by NPI 1164949350.
Is LIVIA DE SOUZA LISBOA (MS, PA-C) currently accepting referrals based on NPI status?
Registry metadata lists LIVIA DE SOUZA LISBOA (MS, PA-C) as active.
What does the directory say LIVIA DE SOUZA LISBOA (MS, PA-C) does?
Insurance directories may phrase it differently, but here LIVIA DE SOUZA LISBOA (MS, PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LIVIA DE SOUZA LISBOA (MS, PA-C) tied to Lafayette, Indiana?
If you are local to Lafayette, Indiana, LIVIA DE SOUZA LISBOA (MS, PA-C) may be relevant to your search.
Can I export LIVIA DE SOUZA LISBOA (MS, PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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