MRS. LISA MARIE RAMESBOTTOM (FNP-BC) – Family Nurse Practitioner, NPI 1174967533

MRS. LISA MARIE RAMESBOTTOM (FNP-BC) is a healthcare provider. based in Clawson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 4704266153 (MI). The NPI Number for MRS. LISA MARIE RAMESBOTTOM (FNP-BC) is 1174967533

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MARIE RAMESBOTTOM (FNP-BC)
NPI
1174967533
Phone
(866) 389-2727
Address
1402 W 14 MILE RD
Enumeration Date
29 April 2013
Last Update Date
30 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2012 (14 years ago)
PAC ID
4789998469
Group Practice PAC ID
9133123755
Professional Enrollment ID
I20150810000655
Address ID
MI480171499CL1402XRDXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. LISA MARIE RAMESBOTTOM (FNP-BC)

  • 1402 W 14 MILE RD

    CLAWSON, MI 480171499

    Phone: (866) 389-2727

    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)

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: 2015-08-10

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
I20150810000655INurse PractitionerMITBD

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
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1616$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48017)

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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: 9133123755View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI

Reviews

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Frequently asked questions

What federal number belongs to MRS. LISA MARIE RAMESBOTTOM (FNP-BC)?
The federal identifier for MRS. LISA MARIE RAMESBOTTOM (FNP-BC) is NPI 1174967533.
Does this profile mean MRS. LISA MARIE RAMESBOTTOM (FNP-BC) is currently active?
Yes — MRS. LISA MARIE RAMESBOTTOM (FNP-BC) appears active in the national provider directory.
What does MRS. LISA MARIE RAMESBOTTOM (FNP-BC) treat or focus on?
Patients typically see MRS. LISA MARIE RAMESBOTTOM (FNP-BC) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. LISA MARIE RAMESBOTTOM (FNP-BC)'s primary listing?
We display Clawson, Michigan because that is what the record indicates for MRS. LISA MARIE RAMESBOTTOM (FNP-BC).
Is MRS. LISA MARIE RAMESBOTTOM (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1174967533. Always confirm identity and privileges with the practice and licensing boards.

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