MRS. LISA MARIE SOVIAK (PA-C) – Medical Physician Assistant, NPI 1730349655

MRS. LISA MARIE SOVIAK (PA-C) is a healthcare provider. based in South lyon, Michigan. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601005256 (MI). The NPI Number for MRS. LISA MARIE SOVIAK (PA-C) is 1730349655

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MARIE SOVIAK (PA-C)
NPI
1730349655
Phone
(248) 826-6390
Address
58648 WINNOWING CIR S
Enumeration Date
13 June 2008
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489677326
Graduation Year
2008 (18 years ago)
PAC ID
1759455686
Group Practice PAC ID
7315859725
Professional Enrollment ID
I20080811000360
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. LISA MARIE SOVIAK (PA-C)

  • 58648 WINNOWING CIR S

    SOUTH LYON, MI 481788323

    Phone: (248) 826-6390

    Type: Mailing

  • Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-3000

    Type: Location

  • 11800 E 12 MILE RD

    WARREN, MI 480933472

    Phone: (866) 501-3627

    Type: Mailing

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 $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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: 2008-08-11

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
I20080811000360IPhysician AssistantMITBD

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 48178)

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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: 7315859725View full group profile
NameSpecialtyState
Family PracticeMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Orthopedic SurgeryMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Cardiovascular Disease (Cardiology)NC
Cardiovascular Disease (Cardiology), Internal MedicineIN

Reviews

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Frequently asked questions

What identifier follows MRS. LISA MARIE SOVIAK (PA-C) across health systems?
The NPI 1730349655 uniquely identifies MRS. LISA MARIE SOVIAK (PA-C) in U.S. healthcare data.
Is MRS. LISA MARIE SOVIAK (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. LISA MARIE SOVIAK (PA-C) as active.
What does the directory say MRS. LISA MARIE SOVIAK (PA-C) does?
Insurance directories may phrase it differently, but here MRS. LISA MARIE SOVIAK (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. LISA MARIE SOVIAK (PA-C) in South Lyon, Michigan?
For routing, start with South Lyon, Michigan for MRS. LISA MARIE SOVIAK (PA-C), then verify phone and hours locally.
Who maintains MRS. LISA MARIE SOVIAK (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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