MS. LISA M STEPHENSON (MS, FNP) – Family Nurse Practitioner, NPI 1194909697
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. LISA M STEPHENSON (MS, FNP)
Troy Schenectady Road, Latham, Town of Colonie, Albany County, New York, 12110, United States
SUITE 203
LATHAM, NY 121102442
Phone: (518) 782-3700
Fax: (518) 782-3799
Type: Mailing
9, Willow Lane, Town of Halfmoon, Saratoga County, New York, 12118, United States
SUITE 202
HALFMOON, NY 120652409
Phone: (518) 383-2366
Fax: (518) 383-6022
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,172.
Total Amount is formed as General ($1,172) + Research ($0) + Ownership ($0) = $1,172.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($230).
Total Amount
$1,172
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-02-01
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 |
|---|---|---|---|---|
| I20080201000425 | 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 12110)
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Group practice members
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