LISA C PRENTISS (PA) – Physician Assistant, NPI 1881652642

LISA C PRENTISS (PA) is a healthcare provider. based in Scarborough, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA430 (ME). The NPI Number for LISA C PRENTISS (PA) is 1881652642

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA C PRENTISS (PA)
NPI
1881652642
Phone
(207) 396-8600
Address
301C US ROUTE ONE
Enumeration Date
2 May 2006
Last Update Date
3 June 2011

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2078859905
Graduation Year
1994 (32 years ago)
PAC ID
7911185129
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20110616000595
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,167 PHYSICIAN ASSISTANT in ME

Loading map...

Provider Addresses for LISA C PRENTISS (PA)

  • 301C US ROUTE ONE

    SCARBOROUGH, ME 040749701

    Phone: (207) 396-8600

    Fax: (207) 396-8632

    Type: Mailing

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PAVILION 1203

    PORTLAND, ME 041027133

    Phone: (207) 662-4618

    Fax: (207) 662-6254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2011-06-16

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
I20110616000595IPhysician AssistantMETBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7349$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2116$0
99239Hospital discharge day management, more than 30 minutes2020$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 04074)

Loading plans...

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: 7517860588View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify LISA C PRENTISS (PA) with an NPI only?
You can start verification with NPI 1881652642 for LISA C PRENTISS (PA), then check state licensing separately.
Is LISA C PRENTISS (PA) listed as active for patients and plans?
The listing shows LISA C PRENTISS (PA) as active in the NPI system.
What is LISA C PRENTISS (PA)'s specialty?
The listing groups LISA C PRENTISS (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect LISA C PRENTISS (PA) on a map?
Expect Scarborough, Maine as a primary anchor for LISA C PRENTISS (PA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

DAMON M JORDAN (PA-C)

Physician Assistant
301C US ROUTE ONE
NPI: 1033109707

Maine Medical Partners Neurosurgery & Spine

Neurological Surgery Physician
49, Spring Street, Eight Corners, Cumberland County, Maine, 04074, United States
NPI: 1659351393

SARA M HOFFMAN (PA-C)

Physician Assistant
9746, Northwest Maring Drive, West Haven, Portland, Metro, Washington County, Oregon, 97229, United States
NPI: 1073586491

MS. BERNADETTE V BARNUM (PA-C)

Medical Physician Assistant
301C US ROUTE ONE
NPI: 1326016072

New England Cancer Specialists

Hematology & Oncology Physician
100 CAMPUS DR UNIT 108
NPI: 1205896107

ANGELA LECLERC (PA-C)

Physician Assistant
Route 1, Oak Hill, Cumberland County, Maine, 04074, United States
NPI: 1720049869

Unknown Individual

Physician Assistant
190, Riverside Street, Portland, Cumberland County, Maine, 04103, United States
NPI: 1891759379

RALPH W HUGHES (PA-C)

Physician Assistant
52, Melrose Street, Woodfords Corner, Portland, Cumberland County, Maine, 04101, United States
NPI: 1801844949

PATRICIA A JOHNSON (PA-C)

Physician Assistant
5, Medinah Circle, Falmouth, Cumberland County, Maine, 04105, United States
NPI: 1871541912