LISA KERN (APN-C) – Nurse Practitioner, NPI 1104989961

LISA KERN (APN-C) is a healthcare provider. based in Galloway, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN-C. They hold a License No. 26NJ00091900 (NJ). The NPI Number for LISA KERN (APN-C) is 1104989961

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA KERN (APN-C)
NPI
1104989961
Phone
(609) 404-9900
Address
318 CHRIS GAUPP DR
Enumeration Date
19 December 2006
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6093407815
Graduation Year
2005 (21 years ago)
PAC ID
6002841772
Group Practice PAC ID
8527953660
Professional Enrollment ID
I20051007000671
Address ID
NJ080872225LI459XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LISA KERN (APN-C)

  • Chris Gaupp Drive, Monticello Estates, Pinehurst, Galloway Township, Atlantic County, New Jersey, 08205, United States

    GALLOWAY, NJ 082054460

    Phone: (609) 404-9900

    Fax: (609) 404-3687

    Type: Mailing

  • 2 Stone Harbor Blvd

    Cape May Court House, NJ 082102138

    Phone: (856) 342-2000

    Type: Location

  • 1 FEDERAL ST STE 200

    CAMDEN, NJ 081031088

    Phone: (848) 288-6935

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,609.

Total Amount is formed as General ($1,609) + Research ($0) + Ownership ($0) = $1,609.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($315).

Total Amount

$1,609

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,609

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2005-10-07

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
I20051007000671INurse 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 minutes260255$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report201198$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9066$0
99214Established patient office or other outpatient visit, 30-39 minutes6763$0
99238Hospital discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 08205)

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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: 8527953660View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)NJ
Nurse PractitionerNJ
Emergency MedicineOH
Certified Nurse Midwife (Cnm)NJ
Emergency MedicineOH
-NJ
-NJ
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Internal MedicineNJ
-NJ

Reviews

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Frequently asked questions

Is there an official ID for LISA KERN (APN-C) in U.S. healthcare records?
The official identifier for LISA KERN (APN-C) is NPI 1104989961.
Is there an active status for LISA KERN (APN-C)?
For scheduling context, LISA KERN (APN-C) is shown as active in the registry.
What area of care is associated with LISA KERN (APN-C)?
LISA KERN (APN-C)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA KERN (APN-C) associated with Galloway?
Public fields place LISA KERN (APN-C) around Galloway, New Jersey. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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