MISS LISA MAE MANCHESTER (APRN) – Family Nurse Practitioner, NPI 1033490297

MISS LISA MAE MANCHESTER (APRN) is a healthcare provider. based in Grand island, Nebraska. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 111261 (NE). The NPI Number for MISS LISA MAE MANCHESTER (APRN) is 1033490297

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS LISA MAE MANCHESTER (APRN)
NPI
1033490297
Phone
(308) 389-3278
Address
425 N DIERS AVE
Enumeration Date
1 September 2011
Last Update Date
9 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028341005
Graduation Year
2011 (15 years ago)
PAC ID
2365616927
Group Practice PAC ID
6406860543
Professional Enrollment ID
I20111116000314
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111116000314INurse PractitionerNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 68803)

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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: 6406860543View full group profile
NameSpecialtyState
Physician AssistantNE
Physician AssistantNE
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Nurse PractitionerNE
Physician AssistantNE
Nurse PractitionerWY
Nurse PractitionerNE
Physician AssistantNE

Reviews

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Frequently asked questions

Can I verify MISS LISA MAE MANCHESTER (APRN) with an NPI only?
You can start verification with NPI 1033490297 for MISS LISA MAE MANCHESTER (APRN), then check state licensing separately.
Is MISS LISA MAE MANCHESTER (APRN) listed as active for patients and plans?
The listing shows MISS LISA MAE MANCHESTER (APRN) as active in the NPI system.
What is MISS LISA MAE MANCHESTER (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MISS LISA MAE MANCHESTER (APRN) here. Clinical services aligned with this taxonomy classification.
What area does MISS LISA MAE MANCHESTER (APRN) serve?
MISS LISA MAE MANCHESTER (APRN)'s listing highlights Grand Island, Nebraska; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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