LISA DUTRA (FNP-BC) – Family Nurse Practitioner, NPI 1932758299

LISA DUTRA (FNP-BC) is a healthcare provider. based in Harwich port, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN2286200 (MA). The NPI Number for LISA DUTRA (FNP-BC) is 1932758299

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA DUTRA (FNP-BC)
NPI
1932758299
Phone
(508) 905-2815
Address
PO BOX 598
Enumeration Date
10 September 2019
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5088332639
Graduation Year
2019 (7 years ago)
PAC ID
0345673059
Group Practice PAC ID
3577471564
Professional Enrollment ID
I20191211001708
Address ID
MA026013845HY46XXXSTXX306
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for LISA DUTRA (FNP-BC)

  • PO BOX 598

    HARWICH PORT, MA 026460598

    Phone: (508) 905-2815

    Type: Mailing

  • 6 Granite State Ct

    Brewster, MA 026312127

    Phone: (508) 247-7716

    Type: Location

  • 46 NORTH ST

    HYANNIS, MA 026013845

    Phone: (508) 771-0006

    Type: Mailing

  • 46, North Street, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601-5542, United States

    HYANNIS, MA 026013845

    Phone: (508) 771-0006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-05-25 • Largest payer in this snapshot: Boston Scientific Corporation ($25).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-25

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: 2019-12-11

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
I20191211001708INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes312223$0
99214Established patient office or other outpatient visit, 30-39 minutes10597$0
99212Established patient office or other outpatient visit, 10-19 minutes2626$0
99203New patient office or other outpatient visit, 30-44 minutes2424$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 02646)

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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: 3577471564View full group profile
NameSpecialtyState
E N D O C R I N O L O G YMA
Nurse PractitionerMA
Physician AssistantMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Family PracticeMA
Internal MedicineMA
Thoracic Surgery, General SurgeryMA
-MA
N E U R O S U R G E R YMA
-NV

Reviews

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Frequently asked questions

Can I cross-check LISA DUTRA (FNP-BC) using NPI 1932758299?
NPI 1932758299 belongs to LISA DUTRA (FNP-BC); compare other details if you need extra assurance.
Would LISA DUTRA (FNP-BC) appear as active to a payer?
You can treat LISA DUTRA (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LISA DUTRA (FNP-BC)?
LISA DUTRA (FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA DUTRA (FNP-BC) associated with Harwich Port?
Public fields place LISA DUTRA (FNP-BC) around Harwich Port, Massachusetts. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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