LISA MALLARD (ARNP, CNM) – Advanced Practice Midwife, NPI 1891847869
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 CERTIFIED NURSE MIDWIFE (CNM) in NC
Provider Addresses for LISA MALLARD (ARNP, CNM)
PO BOX 936
LONDON, KY 407430936
Phone: (606) 330-7835
Type: Mailing
100 Brewster Blvd
Camp Lejeune, NC 28547
Phone: (910) 449-2741
Type: Location
501 NW Lake Whitney Pl
Suite 106
Port Saint Lucie, FL 349861615
Phone: (772) 785-8000
Fax: (772) 785-8150
Type: Location
Naval Hospital Camp Lejeune, 100, Brewster Boulevard, Marine Corps Base Camp Lejeune, Onslow County, North Carolina, 28547, United States
CAMP LEJEUNE, NC 285472575
Phone: (910) 449-2741
Type: Mailing
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 405099087
Phone: (859) 967-5848
Fax: (859) 967-5473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $648.
Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($265).
Total Amount
$648
General + Research + Ownership
Payments
21
Total payment records
General Amount
$648
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MAYNE PHARMA COMMERCIAL LLC | $265 |
| Biogen, Inc. | $108 |
| Aspira Women's Health Inc | $62 |
| Bayer Healthcare Pharmaceuticals Inc. | $31 |
| PFIZER INC. | $28 |
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: 2018-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180125002105 | I | Certified Nurse Midwife (Cnm) | KY | TBD |
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.
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 40743)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| General Surgery | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| - | KY | |
| Surgical Oncology | OH |
Reviews
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