LISA BREDEWEG (NP) – Family Nurse Practitioner, NPI 1700260668

LISA BREDEWEG (NP) is a healthcare provider. based in Linton, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71005701A (IN). The NPI Number for LISA BREDEWEG (NP) is 1700260668

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA BREDEWEG (NP)
NPI
1700260668
Phone
(812) 847-4481
Address
1043 N 1000 W
Enumeration Date
10 July 2015
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128473381
Graduation Year
2015 (11 years ago)
PAC ID
7214243187
Group Practice PAC ID
2961481544
Professional Enrollment ID
I20150909000399
Address ID
IN474415294LI1206X1000301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for LISA BREDEWEG (NP)

  • 1043 N 1000 W

    LINTON, IN 474415281

    Phone: (812) 847-4481

    Fax: (812) 847-0006

    Type: Mailing

  • 1185 N 1000 W

    LINTON, IN 474415282

    Phone: (812) 847-2281

    Type: Mailing

  • 1210 N 1000 W

    LINTON, IN 474415013

    Phone: (812) 847-4481

    Fax: (844) 658-7526

    Type: Location

  • 1216 N 1000 W

    LINTON, IN 474415013

    Phone: (812) 699-4111

    Fax: (812) 699-4497

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Exact Sciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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: 2015-09-09

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
I20150909000399INurse 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 47441)

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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: 2961481544View full group profile
NameSpecialtyState
Family PracticeIN
Diagnostic RadiologyIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
-IN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Internal Medicine, Pediatric MedicineIN

Reviews

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Frequently asked questions

Does LISA BREDEWEG (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA BREDEWEG (NP) uses 1700260668.
Does CMS list LISA BREDEWEG (NP) as active?
Yes — LISA BREDEWEG (NP) is active in the NPI listing used on this page.
What healthcare role does LISA BREDEWEG (NP) hold?
Scheduling teams often label LISA BREDEWEG (NP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LISA BREDEWEG (NP) list a practice location?
Patients near Linton, Indiana may find LISA BREDEWEG (NP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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