LISA MARIE WARACK (PA-C) – Physician Assistant, NPI 1740303205
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for LISA MARIE WARACK (PA-C)
4790 W M 76
WEST BRANCH, MI 486618921
Phone: (989) 345-2791
Type: Mailing
2463 S M 30
WEST BRANCH, MI 486619312
Phone: (989) 343-3261
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($105).
Total Amount
$243
General + Research + Ownership
Payments
7
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $105 |
| Organogenesis Inc. | $97 |
| Urgo Medical North America, LLC | $24 |
| Integra LifeSciences Corporation | $17 |
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: 2005-03-15
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 |
|---|---|---|---|---|
| I20050315000436 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 443 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 250 | 108 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 152 | 81 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 100 | 55 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 74 | 16 | $0 |
Insurance plans in this area (ZIP 48661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Nurse Practitioner | MI | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Emergency Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Emergency Medicine | MI | |
| Emergency Medicine | WV |
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