DR. LISA M BELISLE (MD, MPH) – Family Medicine Physician, NPI 1629131685

DR. LISA M BELISLE (MD, MPH) is a healthcare provider. based in Topsham, Maine. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. MD14998 (ME). The NPI Number for DR. LISA M BELISLE (MD, MPH) is 1629131685

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M BELISLE (MD, MPH)
NPI
1629131685
Phone
(207) 798-6200
Address
4 HORTON PL
Enumeration Date
19 December 2006
Last Update Date
15 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
2167787800
Graduation Year
1996 (30 years ago)
PAC ID
0446231591
Group Practice PAC ID
8628982949
Professional Enrollment ID
I20241125001462
Address ID
OH441091900CL2500XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

891 FAMILY PRACTICE in ME

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Provider Addresses for DR. LISA M BELISLE (MD, MPH)

  • 4, Horton Place, Topsham, Sagadahoc County, Maine, 04086, United States

    TOPSHAM, ME 040861747

    Phone: (207) 798-6200

    Fax: (207) 798-6290

    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: 2025-02-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040526000161IFamily PracticeMETBD
I20241125001462IFamily PracticeOHTBD
I20250204000115IFamily PracticeSCTBD

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 04086)

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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: 8628982949View full group profile
NameSpecialtyState
-OH
-OH
Maxillofacial Surgery, Plastic And Reconstructive SurgeryOH
Emergency MedicineIN
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology), Internal MedicineOH
-OH
-VA
General SurgeryOH

Reviews

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Frequently asked questions

How do I look up DR. LISA M BELISLE (MD, MPH) by NPI?
Use NPI 1629131685 when you need to reference DR. LISA M BELISLE (MD, MPH) in forms, claims, or directories.
Is DR. LISA M BELISLE (MD, MPH) active in the national directory?
DR. LISA M BELISLE (MD, MPH)'s public NPI profile is in an active state.
What field does DR. LISA M BELISLE (MD, MPH) work in?
You can think of DR. LISA M BELISLE (MD, MPH) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. LISA M BELISLE (MD, MPH)?
The snapshot lists Topsham, Maine for DR. LISA M BELISLE (MD, MPH); download NPPES for the complete set.
How can I contact DR. LISA M BELISLE (MD, MPH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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