LISA KAY ASTALOS CHISM (M.S, R.N., C.S.) – Nurse Practitioner, NPI 1649484411
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LISA KAY ASTALOS CHISM (M.S, R.N., C.S.)
21090, Allen Road, Woodhaven, Wayne County, Michigan, 48183, United States
WOODHAVEN, MI 481831602
Phone: (734) 676-9800
Fax: (734) 676-9801
Type: Location
23401, Leighwood Drive, Wood Pointe, Woodhaven, Wayne County, Michigan, 48183, United States
WOODHAVEN, MI 481832774
Phone: (734) 676-9800
Fax: (734) 676-9801
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $73,850.
Total Amount is formed as General ($73,850) + Research ($0) + Ownership ($0) = $73,850.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($73,137).
Total Amount
$73,850
General + Research + Ownership
Payments
120
Total payment records
General Amount
$73,850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $73,137 |
| Bayer Healthcare Pharmaceuticals Inc. | $283 |
| Sumitomo Pharma America, Inc. | $190 |
| Astellas Pharma Global Development | $120 |
| Novo Nordisk Inc | $35 |
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: 2007-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070824000588 | I | Nurse Practitioner | MI | TBD |
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.
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 48183)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Qualified Speech Language Pathologist | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| Internal Medicine, Hematology/Oncology | MI | |
| Medical Oncology, Internal Medicine | MI | |
| Internal Medicine, Hematology | NY | |
| Thoracic Surgery, General Surgery | MI | |
| Diagnostic Radiology, Nuclear Medicine | MI |
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