LISA DONEGAN (NP-C) – Family Health Clinical Nurse Specialist, NPI 1669892691

LISA DONEGAN (NP-C) is a healthcare provider. based in Baltimore, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. R097056 (MD). The NPI Number for LISA DONEGAN (NP-C) is 1669892691

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LISA DONEGAN (NP-C)
NPI
1669892691
Phone
(443) 444-4923
Address
5601 LOCH RAVEN BLVD
Enumeration Date
17 April 2014
Last Update Date
17 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4434443775
Graduation Year
2013 (13 years ago)
PAC ID
9638483977
Group Practice PAC ID
1153395306
Professional Enrollment ID
I20150731014305
Address ID
MD212392945BA5601XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for LISA DONEGAN (NP-C)

  • 5601 LOCH RAVEN BLVD

    SUITE 3 NORTH

    BALTIMORE, MD 212392945

    Phone: (443) 444-4923

    Fax: (443) 444-4678

    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 36 Open Payments records for all available years, with a total value of $3,768.

Total Amount is formed as General ($3,768) + Research ($0) + Ownership ($0) = $3,768.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($765).

Total Amount

$3,768

General + Research + Ownership

Payments

36

Total payment records

General Amount

$3,768

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-07-31

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
I20150731014305INurse PractitionerMDTBD

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 21239)

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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: 1153395306View full group profile
NameSpecialtyState
Nephrology, Internal MedicineMD
N E P H R O L O G YMD
Nephrology, Internal MedicineMD
Nurse PractitionerMD
N E P H R O L O G YLA
Physician AssistantAL
N E P H R O L O G YMD
Physician AssistantMD
N E P H R O L O G YMD
Nurse PractitionerMD

Reviews

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Frequently asked questions

What unique ID ties claims to LISA DONEGAN (NP-C)?
NPI 1669892691 is assigned to LISA DONEGAN (NP-C) under the national enumeration system.
Is LISA DONEGAN (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LISA DONEGAN (NP-C) treat or focus on?
Patients typically see LISA DONEGAN (NP-C) under the specialty Family Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
What location shows for LISA DONEGAN (NP-C)?
We surface Baltimore, Maryland for LISA DONEGAN (NP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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