LISA PATRICK – Women's Health Nurse Practitioner, NPI 1356017446

LISA PATRICK is a healthcare provider. based in Omaha, Nebraska. specializing in NURSE PRACTITIONER. They hold a License No. 68469 (NE). The NPI Number for LISA PATRICK is 1356017446

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LISA PATRICK
NPI
1356017446
Phone
(308) 940-0132
Address
16533 TIMBERLANE DR
Enumeration Date
18 August 2021
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023976600
Graduation Year
2021 (5 years ago)
PAC ID
5193116762
Group Practice PAC ID
3779527585
Professional Enrollment ID
I20211216000382
Address ID
NE681242388OM7205XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for LISA PATRICK

  • 16533 TIMBERLANE DR

    OMAHA, NE 681363077

    Phone: (308) 940-0132

    Type: Mailing

  • 515 N 162ND AVE STE 102

    OMAHA, NE 681182540

    Phone: (402) 397-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,971.

Total Amount is formed as General ($1,971) + Research ($0) + Ownership ($0) = $1,971.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($558).

Total Amount

$1,971

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2021-12-16

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
I20211216000382INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68136)

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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: 3779527585View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YNE
O B S T E T R I C S/ G Y N E C O L O G YNE
-NE
Certified Nurse Midwife (Cnm)NE

Reviews

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Frequently asked questions

Is LISA PATRICK listed with a National Provider Identifier?
Yes — LISA PATRICK has NPI 1356017446 on file in the registry.
Active or inactive — what applies to LISA PATRICK?
You should see LISA PATRICK as active in CMS-hosted NPPES data.
What area of care is associated with LISA PATRICK?
LISA PATRICK's record emphasizes Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA PATRICK?
Travel planning: use Omaha, Nebraska as the reference point for LISA PATRICK, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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