LISA C DEGEN (PA-C) – Medical Physician Assistant, NPI 1639308893

LISA C DEGEN (PA-C) is a healthcare provider. based in Grand island, Nebraska. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1453 (NE). The NPI Number for LISA C DEGEN (PA-C) is 1639308893

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LISA C DEGEN (PA-C)
NPI
1639308893
Phone
(308) 381-0162
Address
2116 W FAIDLEY AVE STE 400
Enumeration Date
9 July 2009
Last Update Date
30 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3083810162
Graduation Year
2009 (17 years ago)
PAC ID
5496808172
Group Practice PAC ID
8123021318
Professional Enrollment ID
I20090728000445
Address ID
NE688034442GR3563XSTXX347
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,396 PHYSICIAN ASSISTANT in NE

Provider Addresses for LISA C DEGEN (PA-C)

  • 2116 W FAIDLEY AVE STE 400

    GRAND ISLAND, NE 68803

    Phone: (308) 381-0162

    Fax: (308) 389-4445

    Type: Location

  • 3563 PRAIRIEVIEW ST STE 300

    GRAND ISLAND, NE 688034442

    Phone: (308) 381-0162

    Fax: (308) 389-4445

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GRAND ISLAND, NE 688029802

    Phone: (308) 381-0162

    Fax: (308) 389-4445

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $968.

Total Amount is formed as General ($968) + Research ($0) + Ownership ($0) = $968.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($485).

Total Amount

$968

General + Research + Ownership

Payments

84

Total payment records

General Amount

$968

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2009-07-28

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
I20090728000445IPhysician AssistantNETBD

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 minutes249178$0
36415Insertion of needle into vein for collection of blood sample196120$0
99213Established patient office or other outpatient visit, 20-29 minutes143125$0
81001Manual urinalysis test with examination using microscope, automated11787$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test11298$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: 8123021318View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to LISA C DEGEN (PA-C)?
NPI 1639308893 is assigned to LISA C DEGEN (PA-C) under the national enumeration system.
Is LISA C DEGEN (PA-C)'s NPI currently valid?
The extract we use shows LISA C DEGEN (PA-C) as active.
Does LISA C DEGEN (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for LISA C DEGEN (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA C DEGEN (PA-C)?
The page summarizes Grand Island, Nebraska for LISA C DEGEN (PA-C); expand the address list for detail.
How can I contact LISA C DEGEN (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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