LISA J LISS (NP) – Pediatric Nurse Practitioner, NPI 1922338045

LISA J LISS (NP) is a healthcare provider. based in Framingham, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 280505 (MA). The NPI Number for LISA J LISS (NP) is 1922338045

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA J LISS (NP)
NPI
1922338045
Phone
(508) 872-4813
Address
63 FOUNTAIN ST
Enumeration Date
12 January 2010
Last Update Date
17 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084884075
Graduation Year
2009 (17 years ago)
PAC ID
5799829438
Group Practice PAC ID
1557792314
Professional Enrollment ID
I20100219000115
Address ID
MA017015250FR1253XRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for LISA J LISS (NP)

  • 63, Fountain Street, Coburnville, Framingham, Middlesex County, Massachusetts, 01702, United States

    FRAMINGHAM, MA 017026279

    Phone: (508) 872-4813

    Fax: (508) 626-0454

    Type: Mailing

  • 814, Broad Street, Lincoln Heights, East Weymouth, Weymouth, Norfolk County, Massachusetts, 02189, United States

    WEYMOUTH, MA 021892031

    Phone: (781) 337-0550

    Fax: (781) 337-0553

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($237).

Total Amount

$400

General + Research + Ownership

Payments

5

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

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: 2010-02-19

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
I20100219000115INurse 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 01702)

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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: 1557792314View full group profile
NameSpecialtyState
Psychiatry, Sleep MedicineMA
-MA
Nurse PractitionerMA
Clinical Social WorkerMA
-MA
-MA
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
-MA

Reviews

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Frequently asked questions

What number should I use to identify LISA J LISS (NP) for billing?
Administrative and clinical systems typically use NPI 1922338045 for LISA J LISS (NP).
Should I treat LISA J LISS (NP) as an active provider?
Patients and plans typically see LISA J LISS (NP) as active in the national extract.
Which specialty label fits LISA J LISS (NP)?
NPPES ties LISA J LISS (NP) to Pediatric Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA J LISS (NP)?
LISA J LISS (NP) is associated with Framingham, Massachusetts in the same public data insurers reference.
Who maintains LISA J LISS (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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