LISA THAYER (N.P.) – Adult Health Nurse Practitioner, NPI 1023050879
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for LISA THAYER (N.P.)
155, Crystal Run Road, City of Middletown, Town of Wallkill, Orange County, New York, 10941, United States
MIDDLETOWN, NY 109414028
Phone: (845) 703-6999
Fax: (845) 703-6297
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $730.
Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($442).
Total Amount
$730
General + Research + Ownership
Payments
20
Total payment records
General Amount
$730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $442 |
| Merz North America, Inc. | $262 |
| Solta Medical, a division of Bausch Health US, LLC | $26 |
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: 2013-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130719000540 | I | Nurse Practitioner | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 10941)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NY | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Pediatric Medicine | NY | |
| Nephrology, Internal Medicine | NY | |
| Pulmonary Disease, Critical Care (Intensivists) | NY | |
| E N D O C R I N O L O G Y | NY | |
| N E U R O L O G Y | NY | |
| Diagnostic Radiology | NY | |
| General Surgery | NY | |
| P A T H O L O G Y | NY | |
| Internal Medicine | NY | |
| U R O L O G Y | NY |
Reviews
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