LISA MARIE ANDERSON (PA-C) – Physician Assistant, NPI 1366525826
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 PHYSICIAN ASSISTANT in MD
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Provider Addresses for LISA MARIE ANDERSON (PA-C)
301, Saint Paul Street, Chinatown, Downtown, Baltimore, Maryland, 21202, United States
SUITE 300
BALTIMORE, MD 21202
Phone: (410) 332-9694
Type: Mailing
McAuley Plaza, 301, Saint Paul Place, Inner Harbor, Baltimore, Maryland, 21202:21230, United States
DEPT OF MEDICINE
BALTIMORE, MD 21202
Phone: (410) 332-9694
Type: Location
301 St Paul Place
Dept of Medicine
Baltimore, MD 21202
Phone: (410) 332-9694
Type: Location
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH, NH 038017105
Phone: (603) 410-6700
Fax: (603) 319-8308
Type: Mailing
10 WHITTEN RD
AUGUSTA, ME 043306019
Phone: (207) 466-2400
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: 2018-09-17
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 |
|---|---|---|---|---|
| I20180917000701 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 107 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 59 | $0 |
| 71046 | X-ray of chest, 2 views | 32 | 30 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 31 | 31 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 30 | 15 | $0 |
Insurance plans in this area (ZIP 21202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME | |
| Family Practice, Hospitalist | ME | |
| Nurse Practitioner | ME | |
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Internal Medicine | VA | |
| Family Practice | CT | |
| Family Practice, Geriatric Medicine | ME |
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