LISA MARIE BROWN – Family Nurse Practitioner, NPI 1417713777

LISA MARIE BROWN is a healthcare provider. based in Weston, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2318899 (MA). The NPI Number for LISA MARIE BROWN is 1417713777

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE BROWN
NPI
1417713777
Phone
(508) 250-6924
Address
29 DEER PATH LN
Enumeration Date
26 February 2024
Last Update Date
5 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816421912
Graduation Year
2023 (3 years ago)
PAC ID
7214463199
Group Practice PAC ID
3971591900
Professional Enrollment ID
I20241216002899
Address ID
MA024931139WE29XXXLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for LISA MARIE BROWN

  • 29 DEER PATH LN

    WESTON, MA 024931139

    Phone: (508) 250-6924

    Type: Location

  • 41 GLEASON ST

    FRAMINGHAM, MA 017013504

    Phone: (508) 250-6924

    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: 2024-12-16

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
I20241216002899INurse PractitionerMATBD

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 02493)

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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: 3971591900View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerMA

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Frequently asked questions

Is LISA MARIE BROWN listed with a National Provider Identifier?
Yes — LISA MARIE BROWN has NPI 1417713777 on file in the registry.
Is LISA MARIE BROWN still an active registrant?
LISA MARIE BROWN carries an active NPI according to the public dataset.
What expertise is attributed to LISA MARIE BROWN?
LISA MARIE BROWN's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA MARIE BROWN located near Weston?
LISA MARIE BROWN currently maps to Weston, Massachusetts in this extract.
When was this NPI issued?
Enumeration for LISA MARIE BROWN is noted as February 26, 2024 where the registry provides it.

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