MS. LISA M MARRONEY (PA-C) – Surgical Physician Assistant, NPI 1528029600

MS. LISA M MARRONEY (PA-C) is a healthcare provider. based in Randallstown, Maryland. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C0002996 (MD). The NPI Number for MS. LISA M MARRONEY (PA-C) is 1528029600

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA M MARRONEY (PA-C)
NPI
1528029600
Phone
(410) 601-5524
Address
5401 OLD COURT RD
Enumeration Date
29 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103286704
Graduation Year
2004 (22 years ago)
PAC ID
2567429756
Group Practice PAC ID
6800882317
Professional Enrollment ID
I20041220000685
Address ID
MD212011544BA22XXXSTXX400
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

3,391 PHYSICIAN ASSISTANT in MD

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Provider Addresses for MS. LISA M MARRONEY (PA-C)

  • Northwest Hospital, 5401, Old Court Road, Garden View Apartments, Randallstown, Baltimore County, Maryland, 21133, United States

    ATTN: CREDENTIALING

    RANDALLSTOWN, MD 211335103

    Phone: (410) 601-5524

    Fax: (410) 601-8946

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-01-07 • Largest payer in this snapshot: Baxter Healthcare ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$113
View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-20

PECOS data refreshed: 2026-06-15

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
I20041220000685IPhysician AssistantMDTBD

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 minutes4431$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 21133)

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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: 6800882317View full group profile
NameSpecialtyState
Nurse PractitionerMD
General SurgeryNY
Nurse PractitionerMD
Nurse PractitionerMD
Nurse PractitionerMD
-CA
Nurse PractitionerMD
Nurse PractitionerPA
Critical Care (Intensivists)MD
Nurse PractitionerMD

Reviews

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Frequently asked questions

Is MS. LISA M MARRONEY (PA-C) listed with a National Provider Identifier?
Yes — MS. LISA M MARRONEY (PA-C) has NPI 1528029600 on file in the registry.
Would MS. LISA M MARRONEY (PA-C) appear as active to a payer?
You can treat MS. LISA M MARRONEY (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. LISA M MARRONEY (PA-C)?
MS. LISA M MARRONEY (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. LISA M MARRONEY (PA-C)?
Directory geography for MS. LISA M MARRONEY (PA-C) centers on Randallstown, Maryland.
When was this NPI issued?
Enumeration for MS. LISA M MARRONEY (PA-C) is noted as March 29, 2006 where the registry provides it.

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