LISA JO MAHONEY (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1861875635

LISA JO MAHONEY (AGACNP-BC) is a healthcare provider. based in Cedar rapids, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. H108907 (IA). The NPI Number for LISA JO MAHONEY (AGACNP-BC) is 1861875635

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA JO MAHONEY (AGACNP-BC)
NPI
1861875635
Phone
Not provided
Address
202 10TH ST SE STE 225
Enumeration Date
29 June 2015
Last Update Date
29 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193685757
Graduation Year
2015 (11 years ago)
PAC ID
5294040614
Group Practice PAC ID
6608786751
Professional Enrollment ID
I20150813012230
Address ID
IA524032419CE202XXSEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for LISA JO MAHONEY (AGACNP-BC)

  • 202 10TH ST SE STE 225

    CEDAR RAPIDS, IA 524032419

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Abbott Laboratories ($70).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

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: 2015-08-13

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
I20150813012230INurse PractitionerIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes478374$0
99213Established patient office or other outpatient visit, 20-29 minutes2828$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 52403)

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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: 6608786751View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
-IA
-IA
Clinical PsychologistIA
Nurse PractitionerIA
-IA
P S Y C H I A T R YIA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA JO MAHONEY (AGACNP-BC)?
LISA JO MAHONEY (AGACNP-BC) — NPI 1861875635 — is the standard way to identify this listing.
Is LISA JO MAHONEY (AGACNP-BC) still practicing?
LISA JO MAHONEY (AGACNP-BC) is currently listed as active in the public NPI registry.
What is LISA JO MAHONEY (AGACNP-BC)'s specialty?
The listing groups LISA JO MAHONEY (AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect LISA JO MAHONEY (AGACNP-BC) on a map?
Expect Cedar Rapids, Iowa as a primary anchor for LISA JO MAHONEY (AGACNP-BC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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