MS. LISA V PELKEY (FNP) – Family Nurse Practitioner, NPI 1194075135
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,869 NURSE PRACTITIONER in ME
Provider Addresses for MS. LISA V PELKEY (FNP)
PO BOX 1599
BANGOR, ME 044021599
Phone: (207) 404-8200
Fax: (207) 947-0435
Type: Mailing
992 UNION ST
BANGOR, ME 044013057
Phone: (207) 992-2601
Fax: (207) 404-8351
Type: Location
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.
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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: 2013-02-25
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 |
|---|---|---|---|---|
| I20130225000314 | I | Nurse Practitioner | ME | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 61 | 57 | $0 |
Insurance plans in this area (ZIP 04402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Hospitalist, Family Practice | GA | |
| Internal Medicine | NY | |
| Internal Medicine, Hospitalist, Family Practice, Internal Medicine | NY | |
| Internal Medicine | TX | |
| Internal Medicine | NJ | |
| Geriatric Medicine | NY | |
| Undersea And Hyperbaric Medicine, Internal Medicine | NY | |
| Internal Medicine | ME | |
| Physician Assistant | ME | |
| Internal Medicine | NJ |
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