DR. LISA S TOBUREN (PHD) – Psychologist, NPI 1053506717

DR. LISA S TOBUREN (PHD) is a healthcare provider. based in Manhattan, Kansas. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 2333 (KS). The NPI Number for DR. LISA S TOBUREN (PHD) is 1053506717

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA S TOBUREN (PHD)
NPI
1053506717
Phone
(785) 320-7331
Address
720 POYNTZ AVE
Enumeration Date
6 September 2007
Last Update Date
7 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135579096
Graduation Year
2014 (12 years ago)
PAC ID
3274849773
Group Practice PAC ID
1557255940
Professional Enrollment ID
I20150828001352
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LISA S TOBUREN (PHD)

  • Katie's Way, 720, Poyntz Avenue, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665026355

    Phone: (785) 320-7331

    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)

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: 2015-08-28

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
I20150828001352IClinical PsychologistKSTBD

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
90834Psychotherapy, 45 minutes5920$0
90832Psychotherapy, 30 minutes4517$0
90837Psychotherapy, 1 hour4121$0
90791Psychiatric diagnostic evaluation2020$0
View full utilization report →

Insurance plans in this area (ZIP 66502)

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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: 1557255940View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Marriage And Family TherapistCO
Mental Health CounselorKS
Mental Health CounselorKS
Nurse PractitionerIA
Nurse PractitionerKS
Mental Health CounselorKS
Clinical PsychologistKS
Mental Health CounselorKS
Mental Health CounselorKS

Reviews

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Frequently asked questions

How is DR. LISA S TOBUREN (PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. LISA S TOBUREN (PHD) with NPI 1053506717.
Does CMS list DR. LISA S TOBUREN (PHD) as active?
Yes — DR. LISA S TOBUREN (PHD) is active in the NPI listing used on this page.
What is DR. LISA S TOBUREN (PHD) best known for clinically?
Directory data describes DR. LISA S TOBUREN (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
What area does DR. LISA S TOBUREN (PHD) serve?
DR. LISA S TOBUREN (PHD)'s listing highlights Manhattan, Kansas; more addresses can appear in NPPES.
Why does DR. LISA S TOBUREN (PHD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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