LISA SUE BETTINGER (NP-C) – Family Nurse Practitioner, NPI 1568779239

LISA SUE BETTINGER (NP-C) is a healthcare provider. based in Kent, Ohio. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. F0810119 (OH). The NPI Number for LISA SUE BETTINGER (NP-C) is 1568779239

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LISA SUE BETTINGER (NP-C)
NPI
1568779239
Phone
(330) 676-1742
Address
1500 EASTWAY DRIVE
Enumeration Date
1 September 2010
Last Update Date
24 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2010 (16 years ago)
PAC ID
3274717244
Group Practice PAC ID
2961425608
Professional Enrollment ID
I20110415000486
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for LISA SUE BETTINGER (NP-C)

  • 1500 EASTWAY DRIVE

    KENT, OH 442402934

    Phone: (330) 676-1742

    Type: Mailing

  • 500 S WATER ST

    KENT, OH 442403548

    Phone: (866) 389-2727

    Type: Location

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: 2011-04-15

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
I20110415000486INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 44240)

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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: 2961425608View full group profile

Reviews

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Frequently asked questions

What NPI should I save for LISA SUE BETTINGER (NP-C)?
Save NPI 1568779239 if you need a stable reference for LISA SUE BETTINGER (NP-C).
Is LISA SUE BETTINGER (NP-C)'s NPI currently valid?
The extract we use shows LISA SUE BETTINGER (NP-C) as active.
What kind of provider is LISA SUE BETTINGER (NP-C)?
The page reflects Family Nurse Practitioner for LISA SUE BETTINGER (NP-C). Clinical services aligned with this taxonomy classification.
Where is LISA SUE BETTINGER (NP-C)'s primary listing?
We display Kent, Ohio because that is what the record indicates for LISA SUE BETTINGER (NP-C).
What if Kent, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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