MS. LISA M MACKNAIR (PA-C) – Medical Physician Assistant, NPI 1033469648

MS. LISA M MACKNAIR (PA-C) is a healthcare provider. based in Auburn, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA4505 (MA). The NPI Number for MS. LISA M MACKNAIR (PA-C) is 1033469648

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA M MACKNAIR (PA-C)
NPI
1033469648
Phone
(774) 221-5135
Address
460 SOUTHBRIDGE ST
Enumeration Date
12 September 2012
Last Update Date
3 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
3971755752
Group Practice PAC ID
5597679449
Professional Enrollment ID
I20121129000446
Address ID
MA017572923MI100XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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

  • 460 SOUTHBRIDGE ST

    READYMED

    AUBURN, MA 015012442

    Phone: (774) 221-5135

    Fax: (774) 221-5136

    Type: Mailing

  • 630 PLANTATION ST FL ST12

    WORCESTER, MA 016052038

    Phone: (774) 261-1356

    Type: Location

  • 68A Main St Ste 102

    Medway, MA 020531775

    Phone: (508) 321-2850

    Fax: (508) 321-2853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $1,548.

Total Amount is formed as General ($1,548) + Research ($0) + Ownership ($0) = $1,548.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ABBVIE INC. ($519).

Total Amount

$1,548

General + Research + Ownership

Payments

84

Total payment records

General Amount

$1,548

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2012-11-29

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
I20121129000446IPhysician AssistantMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 01501)

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Provider's Procedures

MS. LISA M MACKNAIR (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMA81002Urinalysis, manual test2120

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: 5597679449View full group profile

Reviews

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Frequently asked questions

What is the registry number for MS. LISA M MACKNAIR (PA-C)?
The registry entry for MS. LISA M MACKNAIR (PA-C) shows NPI 1033469648.
Does the public listing show MS. LISA M MACKNAIR (PA-C) as active?
MS. LISA M MACKNAIR (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MS. LISA M MACKNAIR (PA-C) provide?
MS. LISA M MACKNAIR (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MS. LISA M MACKNAIR (PA-C) tied to Auburn, Massachusetts?
If you are local to Auburn, Massachusetts, MS. LISA M MACKNAIR (PA-C) may be relevant to your search.
Why is information missing for MS. LISA M MACKNAIR (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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