LISA M EWAN (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1093087249

LISA M EWAN (APN) is a healthcare provider. based in West deptford, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00365500 (NJ). The NPI Number for LISA M EWAN (APN) is 1093087249

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LISA M EWAN (APN)
NPI
1093087249
Phone
(856) 251-0500
Address
875 KINGS HWY STE 100
Enumeration Date
3 February 2012
Last Update Date
11 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8564281260
Graduation Year
2011 (15 years ago)
PAC ID
1355505470
Group Practice PAC ID
2365836020
Professional Enrollment ID
I20120620000733
Address ID
NJ080031244CH2XXXXDRXX403

Contacts

Secure Messaging
credentialing@cfgpc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LISA M EWAN (APN)

  • 875 KINGS HWY STE 100

    WEST DEPTFORD, NJ 080963165

    Phone: (856) 251-0500

    Type: Location

  • 6 N Broad St

    Suite 301

    Woodbury, NJ 080964635

    Phone: (856) 251-0500

    Type: Location

  • 6 N BROAD ST

    SUITE 301

    WOODBURY, NJ 080964635

    Phone: (856) 251-0500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 287 Open Payments records for all available years, with a total value of $4,472.

Total Amount is formed as General ($4,472) + Research ($0) + Ownership ($0) = $4,472.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($746).

Total Amount

$4,472

General + Research + Ownership

Payments

287

Total payment records

General Amount

$4,472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2012-06-20

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
I20120620000733INurse PractitionerNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11161$0
99214Established patient office or other outpatient visit, 30-39 minutes5024$0
90833Psychotherapy with evaluation and management visit, 30 minutes4723$0
90792Psychiatric diagnostic evaluation with medical services3535$0
View full utilization report →

Insurance plans in this area (ZIP 08096)

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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: 2365836020View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerPA
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

Can I verify LISA M EWAN (APN) with an NPI only?
You can start verification with NPI 1093087249 for LISA M EWAN (APN), then check state licensing separately.
Is LISA M EWAN (APN) listed as active for patients and plans?
The listing shows LISA M EWAN (APN) as active in the NPI system.
What is LISA M EWAN (APN) best known for clinically?
Directory data describes LISA M EWAN (APN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does LISA M EWAN (APN) serve?
LISA M EWAN (APN)'s listing highlights West Deptford, New Jersey; more addresses can appear in NPPES.
Is the information about LISA M EWAN (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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