MS. LISA M WYWROT (APRN) – Acute Care Nurse Practitioner, NPI 1093488041

MS. LISA M WYWROT (APRN) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 0024186633 (VA). The NPI Number for MS. LISA M WYWROT (APRN) is 1093488041

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA M WYWROT (APRN)
NPI
1093488041
Phone
(571) 423-5699
Address
PO BOX 37174
Enumeration Date
27 July 2021
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037712960
Graduation Year
2020 (6 years ago)
PAC ID
9335538818
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20240103004563
Address ID
VA201765101LE44045PKWY300

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
lwywrot269303@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

8,303 NURSE PRACTITIONER in VA

Provider Addresses for MS. LISA M WYWROT (APRN)

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 4320 SEMINARY RD

    ALEXANDRIA, VA 223041535

    Phone: (703) 504-3000

    Fax: (703) 504-3388

    Type: Location

  • 17800 Kedzie Ave Ste Aip

    Hazel Crest, IL 604292029

    Phone: (708) 213-3230

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Type: Mailing

  • 17800 KEDZIE AVE STE AIP

    HAZEL CREST, IL 604292029

    Phone: (708) 213-3230

    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.

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: 2024-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231109003062INurse PractitionerDCTBD
I20240103004563INurse PractitionerVATBD

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
99291Critical care, first 30-74 minutes5437$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 21297)

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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: 2466351093View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MS. LISA M WYWROT (APRN)?
Save NPI 1093488041 if you need a stable reference for MS. LISA M WYWROT (APRN).
Is MS. LISA M WYWROT (APRN)'s NPI currently valid?
The extract we use shows MS. LISA M WYWROT (APRN) as active.
What kind of provider is MS. LISA M WYWROT (APRN)?
The page reflects Acute Care Nurse Practitioner for MS. LISA M WYWROT (APRN). Clinical services aligned with this taxonomy classification.
What location shows for MS. LISA M WYWROT (APRN)?
We surface Baltimore, Maryland for MS. LISA M WYWROT (APRN) based on available NPPES addresses.
What if Baltimore, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.