DR. LISA MACVANE (MD) – Family Medicine Physician, NPI 1215514286

DR. LISA MACVANE (MD) is a healthcare provider. based in Leominster, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 1020741 (MA). The NPI Number for DR. LISA MACVANE (MD) is 1215514286

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA MACVANE (MD)
NPI
1215514286
Phone
(978) 466-4169
Address
60 HOSPITAL RD
Enumeration Date
25 March 2021
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784662257
Graduation Year
2021 (5 years ago)
PAC ID
3375982804
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20240920002529
Address ID
MA014532205LE60XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

Provider Addresses for DR. LISA MACVANE (MD)

  • 60 HOSPITAL RD

    LEOMINSTER, MA 014532205

    Phone: (978) 466-4169

    Fax: (978) 466-4017

    Type: Location

  • 195 School St

    Manchester, MA 019441704

    Phone: (978) 526-4311

    Type: Location

  • 326 NICHOLS RD

    FITCHBURG, MA 014201914

    Phone: (978) 343-5270

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

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: 2024-09-20

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
I20240920002529IFamily PracticeMATBD

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 01453)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. LISA MACVANE (MD)?
Save NPI 1215514286 if you need a stable reference for DR. LISA MACVANE (MD).
Does this profile mean DR. LISA MACVANE (MD) is currently active?
Yes — DR. LISA MACVANE (MD) appears active in the national provider directory.
Does DR. LISA MACVANE (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. LISA MACVANE (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LISA MACVANE (MD)?
The snapshot lists Leominster, Massachusetts for DR. LISA MACVANE (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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