LISA MARIE GRINE (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710496799
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for LISA MARIE GRINE (APN)
218A Sunset Rd, 1st Floor
Willingboro, NJ 08046
Phone: (856) 355-7118
Fax: (856) 325-5222
Type: Location
175 Madison Avenue, 6th Floor
Mount Holly, NJ 08060
Phone: (856) 355-7118
Fax: (856) 325-5222
Type: Location
100 Bowman Drive, Lower Level 3
Voorhees, NJ 08043
Phone: (856) 355-7118
Fax: (856) 325-5222
Type: Location
Saint Francis Medical Center, 601, Hamilton Avenue, South Trenton, Trenton, Mercer County, New Jersey, 08629, United States
TRENTON, NJ 086291915
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180515002174 | I | Nurse Practitioner | NJ | TBD |
| I20180612002029 | I | Nurse Practitioner | DC | TBD |
| I20181008002201 | I | Nurse Practitioner | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 13 | $0 |
Insurance plans in this area (ZIP 08046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ |
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