MRS. LISA VANESA WILLIAMSON (APN) – Acute Care Nurse Practitioner, NPI 1871709550

MRS. LISA VANESA WILLIAMSON (APN) is a healthcare provider. based in Newark, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. SP012764 (PA). The NPI Number for MRS. LISA VANESA WILLIAMSON (APN) is 1871709550

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA VANESA WILLIAMSON (APN)
NPI
1871709550
Phone
(973) 972-9090
Address
150 BERGEN ST
Enumeration Date
16 May 2007
Last Update Date
8 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739724112
Graduation Year
2006 (20 years ago)
PAC ID
8820166838
Group Practice PAC ID
5294636874
Professional Enrollment ID
I20081003000532
Address ID
NJ071032496NE150XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for MRS. LISA VANESA WILLIAMSON (APN)

  • University Hospital Helipad, 150, Bergen Street, University Heights, Newark, Essex County, New Jersey, 07103, United States

    NEWARK, NJ 071032496

    Phone: (973) 972-9090

    Fax: (973) 972-7414

    Type: Location

  • 644, Purce Street, Hillside, Union County, New Jersey, 07205, United States

    HILLSIDE, NJ 072051717

    Phone: (908) 686-5786

    Fax: (908) 686-2618

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($94).

Total Amount

$118

General + Research + Ownership

Payments

5

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2008-10-03

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
I20081003000532INurse 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.

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

Insurance plans in this area (ZIP 07103)

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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: 5294636874View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)NJ
Nurse PractitionerNJ
P O D I A T R YNY
-NJ
-NJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Certified Registered Nurse Anesthetist (Crna)ME
Nurse PractitionerNJ

Reviews

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Frequently asked questions

How is MRS. LISA VANESA WILLIAMSON (APN) identified in CMS data?
CMS-hosted NPPES data lists MRS. LISA VANESA WILLIAMSON (APN) with NPI 1871709550.
Is MRS. LISA VANESA WILLIAMSON (APN) still practicing?
MRS. LISA VANESA WILLIAMSON (APN) is currently listed as active in the public NPI registry.
What healthcare role does MRS. LISA VANESA WILLIAMSON (APN) hold?
Scheduling teams often label MRS. LISA VANESA WILLIAMSON (APN) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. LISA VANESA WILLIAMSON (APN) based?
MRS. LISA VANESA WILLIAMSON (APN) is tied to Newark, New Jersey in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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