MISS LISA MAE MANCHESTER (APRN) – Family Nurse Practitioner, NPI 1033490297
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISS LISA MAE MANCHESTER (APRN)
425 N DIERS AVE
GRAND ISLAND, NE 688034910
Phone: (308) 389-3278
Fax: (308) 382-1149
Type: Location
15905 W DODGE RD
APT. 3D
OMAHA, NE 681184032
Phone: (402) 719-4329
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: SOBI, INC ($18).
Total Amount
$80
General + Research + Ownership
Payments
5
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $18 |
| Seqirus USA Inc | $16 |
| Kyowa Kirin, Inc. | $16 |
| Actelion Pharmaceuticals US, Inc. | $15 |
| Ultragenyx Pharmaceutical Inc. | $14 |
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: 2011-11-16
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 |
|---|---|---|---|---|
| I20111116000314 | I | Nurse Practitioner | NE | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 68803)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE | |
| Nurse Practitioner | WY | |
| Nurse Practitioner | NE | |
| Physician Assistant | NE |
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