LISA A. MUELLER (MD) – Gastroenterology Physician, NPI 1063583383

LISA A. MUELLER (MD) is a healthcare provider. based in Providence, Rhode Island. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 9798 (RI). The NPI Number for LISA A. MUELLER (MD) is 1063583383

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
LISA A. MUELLER (MD)
NPI
1063583383
Phone
(401) 521-8800
Address
33 STANIFORD ST
Enumeration Date
10 November 2006
Last Update Date
20 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014218800
Graduation Year
1990 (36 years ago)
PAC ID
1850368317
Group Practice PAC ID
3678762804
Professional Enrollment ID
I20041011000087
Address ID
RI029053105PR33XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

129 GASTROENTEROLOGY in RI

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Provider Addresses for LISA A. MUELLER (MD)

  • 33, Staniford Street, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029053105

    Phone: (401) 521-8800

    Fax: (401) 273-6510

    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 137 Open Payments records for all available years, with a total value of $15,193.

Total Amount is formed as General ($15,193) + Research ($0) + Ownership ($0) = $15,193.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($9,810).

Total Amount

$15,193

General + Research + Ownership

Payments

137

Total payment records

General Amount

$15,193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2004-10-11

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
I20041011000087IGastroenterologyRITBD

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 minutes138123$0
45380Biopsy of large bowel using a flexible endoscope108107$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope106101$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7575$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito6363$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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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: 3678762804View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineRI
G A S T R O E N T E R O L O G YRI
Nurse PractitionerRI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)RI
Physician AssistantRI
Physician AssistantCA
G A S T R O E N T E R O L O G YNH
Nurse PractitionerRI

Reviews

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Frequently asked questions

What number should I use to identify LISA A. MUELLER (MD) for billing?
Administrative and clinical systems typically use NPI 1063583383 for LISA A. MUELLER (MD).
Does the public listing show LISA A. MUELLER (MD) as active?
LISA A. MUELLER (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret LISA A. MUELLER (MD)'s specialty?
The extract shows Gastroenterology Physician for LISA A. MUELLER (MD). Clinical services aligned with this taxonomy classification.
Is LISA A. MUELLER (MD) tied to Providence, Rhode Island?
If you are local to Providence, Rhode Island, LISA A. MUELLER (MD) may be relevant to your search.
Why is information missing for LISA A. MUELLER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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