LISA MARIE DEJESUS (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1700410628

LISA MARIE DEJESUS (PMHNP) is a healthcare provider. based in Somerset, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. APRN02508 (RI). The NPI Number for LISA MARIE DEJESUS (PMHNP) is 1700410628

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE DEJESUS (PMHNP)
NPI
1700410628
Phone
(774) 300-3444
Address
1154 Riverside Ave
Enumeration Date
29 February 2020
Last Update Date
8 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7743003444
Graduation Year
2020 (6 years ago)
PAC ID
4385043561
Group Practice PAC ID
7911385182
Professional Enrollment ID
I20210614003302
Address ID
RI028781062TI301XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for LISA MARIE DEJESUS (PMHNP)

  • 1154 Riverside Ave

    Somerset, MA 027262841

    Phone: (774) 300-3444

    Fax: (774) 307-9039

    Type: Location

  • 22 BYRON ST

    FALL RIVER, MA 027241043

    Phone: (774) 451-1271

    Type: Mailing

  • 516 HAWTHORN ST STE 4

    DARTMOUTH, MA 027473733

    Phone: (774) 451-1271

    Type: Location

  • 301 STATE AVE

    TIVERTON, RI 028781062

    Phone: (774) 300-3444

    Fax: (774) 307-9039

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 153 Open Payments records for all available years, with a total value of $3,153.

Total Amount is formed as General ($3,153) + Research ($0) + Ownership ($0) = $3,153.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,188).

Total Amount

$3,153

General + Research + Ownership

Payments

153

Total payment records

General Amount

$3,153

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210519002663INurse PractitionerMATBD
I20210614003302INurse PractitionerRITBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes16923$0
99215Established patient office or other outpatient visit, 40-54 minutes11023$0
99214Established patient office or other outpatient visit, 30-39 minutes9222$0
90836Psychotherapy with evaluation and management visit, 45 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 02726)

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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: 7911385182View full group profile
NameSpecialtyState
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is there an official ID for LISA MARIE DEJESUS (PMHNP) in U.S. healthcare records?
The official identifier for LISA MARIE DEJESUS (PMHNP) is NPI 1700410628.
Is LISA MARIE DEJESUS (PMHNP) shown as active in public data?
Registry records indicate LISA MARIE DEJESUS (PMHNP) maintains an active NPI.
What area of care is associated with LISA MARIE DEJESUS (PMHNP)?
LISA MARIE DEJESUS (PMHNP)'s record emphasizes Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Is LISA MARIE DEJESUS (PMHNP) located near Somerset?
LISA MARIE DEJESUS (PMHNP) currently maps to Somerset, Massachusetts in this extract.
When was this NPI issued?
Enumeration for LISA MARIE DEJESUS (PMHNP) is noted as February 29, 2020 where the registry provides it.