LISAMARIE PIETRAGALLO (NP-C) – Family Nurse Practitioner, NPI 1376946319

LISAMARIE PIETRAGALLO (NP-C) is a healthcare provider. based in Warren, Ohio. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. COA.-16648-NP (OH). The NPI Number for LISAMARIE PIETRAGALLO (NP-C) is 1376946319

Main info

Female
12 Years Of Experience
Name
LISAMARIE PIETRAGALLO (NP-C)
NPI
1376946319
Phone
(330) 609-5089
Address
9375 E MARKET ST
Enumeration Date
6 October 2014
Last Update Date
6 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003703651
Graduation Year
2014 (12 years ago)
PAC ID
0345564308
Group Practice PAC ID
5799064515
Professional Enrollment ID
I20150121002289
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for LISAMARIE PIETRAGALLO (NP-C)

  • 9375 E MARKET ST

    SUITE 1

    WARREN, OH 444845552

    Phone: (330) 609-5089

    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: 2017-04-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150121002289INurse PractitionerOHTBD
I20170207000340INurse PractitionerKYTBD
I20170426000088INurse PractitionerPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3,295431$0
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional2,379418$0
99204New patient office or other outpatient visit, 45-59 minutes108108$0
99213Established patient office or other outpatient visit, 20-29 minutes7134$0
View full utilization report →

Insurance plans in this area (ZIP 44484)

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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: 5799064515View full group profile
NameSpecialtyState
-OH
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify LISAMARIE PIETRAGALLO (NP-C) for billing?
Administrative and clinical systems typically use NPI 1376946319 for LISAMARIE PIETRAGALLO (NP-C).
Should I treat LISAMARIE PIETRAGALLO (NP-C) as an active provider?
Patients and plans typically see LISAMARIE PIETRAGALLO (NP-C) as active in the national extract.
Which specialty label fits LISAMARIE PIETRAGALLO (NP-C)?
NPPES ties LISAMARIE PIETRAGALLO (NP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is LISAMARIE PIETRAGALLO (NP-C) tied to Warren, Ohio?
If you are local to Warren, Ohio, LISAMARIE PIETRAGALLO (NP-C) may be relevant to your search.
Can I export LISAMARIE PIETRAGALLO (NP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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