MRS. LISA MARIE MANTIA (FNP, BC) – Family Nurse Practitioner, NPI 1295924108
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MRS. LISA MARIE MANTIA (FNP, BC)
PO BOX 419161
CREVE COEUR, MO 631419161
Phone: (314) 523-5320
Fax: (314) 434-3191
Type: Mailing
PO BOX 14369
SAINT LOUIS, MO 631784369
Phone: (314) 523-5300
Fax: (314) 434-3191
Type: Mailing
226, South Woods Mill Road, Chesterfield, Saint Louis County, Missouri, 63017, United States
STE 37W
CHESTERFIELD, MO 630173662
Phone: (314) 523-5320
Fax: (314) 434-3191
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: GENZYME CORPORATION ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $16 |
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: 2007-11-29
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 |
|---|---|---|---|---|
| I20071129000200 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 503 | 271 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 74 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 48 | 46 | $0 |
| G0268 | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | 25 | 25 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| N E U R O S U R G E R Y | MO | |
| Physician Assistant | IL | |
| Physician Assistant | OK | |
| N E U R O S U R G E R Y | MO | |
| - | MO | |
| Qualified Audiologist | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| Otolaryngology, Plastic And Reconstructive Surgery | MO |
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