MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1063651461

MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) is a healthcare provider. based in Canfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. NP10260 (OH). The NPI Number for MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) is 1063651461

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA LYNN KNISKA (NURSE PRACTITIONER)
NPI
1063651461
Phone
(330) 259-0440
Address
3685 STUTZ DR STE 101
Enumeration Date
10 February 2009
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302590440
Graduation Year
2008 (18 years ago)
PAC ID
4183770209
Group Practice PAC ID
3678551330
Professional Enrollment ID
I20090915000361
Address ID
OH445125082BO970XXCTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for MRS. LISA LYNN KNISKA (NURSE PRACTITIONER)

  • Stutz Drive, Starr's Corners, Canfield Township, Mahoning County, Ohio, 44406, United States

    CANFIELD, OH 444069155

    Phone: (330) 259-0440

    Fax: (330) 259-0441

    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)

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: 2009-09-15

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
I20090915000361INurse PractitionerOHTBD

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 44406)

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Provider's Procedures

MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROH90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older14447

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: 3678551330View full group profile
NameSpecialtyState
Nurse PractitionerOH
N E P H R O L O G YOH
N E P H R O L O G YMO
Certified Clinical Nurse Specialist (Cns)OH
-OH

Reviews

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Frequently asked questions

How is MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) identified in CMS data?
CMS-hosted NPPES data lists MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) with NPI 1063651461.
Does the file indicate MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) is practicing under active NPI?
Directory data currently reports MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) as active.
What is MRS. LISA LYNN KNISKA (NURSE PRACTITIONER)'s primary classification?
Nurse Practitioner is the headline specialty for MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) on a map?
Expect Canfield, Ohio as a primary anchor for MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) unless the record lists multiple sites.
Is the information about MRS. LISA LYNN KNISKA (NURSE PRACTITIONER) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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