LISA MARIE SCACCETTI (CRNP) – Nurse Practitioner, NPI 1366745200

LISA MARIE SCACCETTI (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP011152 (PA). The NPI Number for LISA MARIE SCACCETTI (CRNP) is 1366745200

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE SCACCETTI (CRNP)
NPI
1366745200
Phone
(215) 807-8000
Address
PO BOX 8500-6335
Enumeration Date
15 December 2010
Last Update Date
21 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2159271937
Graduation Year
2010 (16 years ago)
PAC ID
0749598696
Group Practice PAC ID
7012818008
Professional Enrollment ID
I20150928000039
Address ID
PA191202470PH101XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for LISA MARIE SCACCETTI (CRNP)

  • PO BOX 8500-6335

    PHILADELPHIA, PA 191786335

    Phone: (215) 807-8000

    Fax: (215) 945-9368

    Type: Mailing

  • 1 SUGARMAPLE LN

    LEVITTOWN, PA 190552007

    Phone: (215) 945-8400

    Fax: (215) 945-9368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $651.

Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($114).

Total Amount

$651

General + Research + Ownership

Payments

37

Total payment records

General Amount

$651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-09-28

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
I20150928000039INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19178)

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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: 7012818008View full group profile
NameSpecialtyState
Nurse PractitionerPA
Internal MedicinePA
-PA
Internal MedicinePA
Internal MedicinePA
-PA
Internal MedicinePA
Internal MedicinePA
Family PracticeNY
Internal MedicinePA

Reviews

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Frequently asked questions

What identifier follows LISA MARIE SCACCETTI (CRNP) across health systems?
The NPI 1366745200 uniquely identifies LISA MARIE SCACCETTI (CRNP) in U.S. healthcare data.
Is LISA MARIE SCACCETTI (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists LISA MARIE SCACCETTI (CRNP) as active.
Which specialty label fits LISA MARIE SCACCETTI (CRNP)?
NPPES ties LISA MARIE SCACCETTI (CRNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA MARIE SCACCETTI (CRNP)?
LISA MARIE SCACCETTI (CRNP) shows a connection to Philadelphia, Pennsylvania in registry-derived data.
Why is information missing for LISA MARIE SCACCETTI (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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