LISA K MAKHOUL (PA-C) – Physician Assistant, NPI 1124498688

LISA K MAKHOUL (PA-C) is a healthcare provider. based in Nanticoke, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA057909 (PA). The NPI Number for LISA K MAKHOUL (PA-C) is 1124498688

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA K MAKHOUL (PA-C)
NPI
1124498688
Phone
(570) 735-7590
Address
121 S PROSPECT ST
Enumeration Date
28 September 2015
Last Update Date
28 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5707357590
Graduation Year
2015 (11 years ago)
PAC ID
2466813910
Group Practice PAC ID
5799768115
Professional Enrollment ID
I20230731002134
Address ID
PA186342456NA121XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for LISA K MAKHOUL (PA-C)

  • 121 S PROSPECT ST

    NANTICOKE, PA 186342456

    Phone: (570) 735-7590

    Fax: (570) 735-0186

    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 111 Open Payments records for all available years, with a total value of $1,789.

Total Amount is formed as General ($1,789) + Research ($0) + Ownership ($0) = $1,789.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($397).

Total Amount

$1,789

General + Research + Ownership

Payments

111

Total payment records

General Amount

$1,789

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-31

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
I20230731002134IPhysician AssistantPATBD

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 18634)

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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: 5799768115View full group profile
NameSpecialtyState
Nurse PractitionerPA
P S Y C H I A T R YPA
-PA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
P S Y C H I A T R YPA
P S Y C H I A T R YPA

Reviews

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Frequently asked questions

What is LISA K MAKHOUL (PA-C)'s NPI number?
LISA K MAKHOUL (PA-C)'s NPI is 1124498688 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LISA K MAKHOUL (PA-C)?
For scheduling context, LISA K MAKHOUL (PA-C) is shown as active in the registry.
How would a patient describe LISA K MAKHOUL (PA-C)'s focus?
For LISA K MAKHOUL (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LISA K MAKHOUL (PA-C) associated with Nanticoke?
Public fields place LISA K MAKHOUL (PA-C) around Nanticoke, Pennsylvania. Always confirm the exact site before visiting.
Can I trust this NPI listing for LISA K MAKHOUL (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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