LISA MARSHALL (MD) – Family Medicine Physician, NPI 1104871169

LISA MARSHALL (MD) is a healthcare provider. based in Kalamazoo, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301063889 (MI). The NPI Number for LISA MARSHALL (MD) is 1104871169

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARSHALL (MD)
NPI
1104871169
Phone
(269) 387-3290
Address
1903 W MICHIGAN AVE
Enumeration Date
24 May 2006
Last Update Date
9 December 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9893544406
Graduation Year
1994 (32 years ago)
PAC ID
3274533815
Group Practice PAC ID
8527969922
Professional Enrollment ID
I20070105000243
Address ID
MI497071317AL393XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for LISA MARSHALL (MD)

  • Western Michigan University, 1903, West Michigan Avenue, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490085200

    Phone: (269) 387-3290

    Fax: (269) 387-2944

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $401.

Total Amount is formed as General ($401) + Research ($0) + Ownership ($0) = $401.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Exact Sciences Corporation ($56).

Total Amount

$401

General + Research + Ownership

Payments

20

Total payment records

General Amount

$401

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2007-01-05

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
I20070105000243IFamily PracticeMITBD

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 49008)

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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: 8527969922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerGA
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the standard ID for LISA MARSHALL (MD) in the U.S.?
In the U.S., LISA MARSHALL (MD) is identified by NPI 1104871169.
Is LISA MARSHALL (MD)'s NPI status active today?
Active status means LISA MARSHALL (MD)'s NPI record is not deactivated in the public file.
How should patients interpret LISA MARSHALL (MD)'s specialty?
The extract shows Family Medicine Physician for LISA MARSHALL (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA MARSHALL (MD)?
LISA MARSHALL (MD) is associated with Kalamazoo, Michigan in the same public data insurers reference.
Can I export LISA MARSHALL (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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