TENESHA R LISBON (NP) – Family Nurse Practitioner, NPI 1356779458

TENESHA R LISBON (NP) is a healthcare provider. based in Providence, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2275245 (MA). The NPI Number for TENESHA R LISBON (NP) is 1356779458

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TENESHA R LISBON (NP)
NPI
1356779458
Phone
(401) 444-0570
Address
355 PRAIRIE AVE
Enumeration Date
29 October 2013
Last Update Date
15 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014440570
Graduation Year
2013 (13 years ago)
PAC ID
5092061929
Group Practice PAC ID
9335050962
Professional Enrollment ID
I20180709001403
Address ID
RI029051928PR355XXAVEX300

Contacts

Secure Messaging
Tenesha.Lisbon@providencechc.directbygreenway.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

1,476 NURSE PRACTITIONER in RI

Provider Addresses for TENESHA R LISBON (NP)

  • 355 PRAIRIE AVE

    PROVIDENCE, RI 02905

    Phone: (401) 444-0570

    Fax: (401) 444-0427

    Type: Location

  • 375 ALLENS AVE

    PROVIDENCE, RI 029055010

    Phone: (401) 444-0400

    Fax: (401) 444-0468

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

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: 2018-07-09

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
I20180709001403INurse PractitionerRITBD

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 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: 9335050962View full group profile
NameSpecialtyState
Family PracticeMI
Allergy/Immunology, Pediatric MedicineRI
Nurse PractitionerRI
-MT
-RI
Family PracticeMA
-RI
O P T O M E T R YRI
Nurse PractitionerRI
Family PracticeOH

Reviews

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Frequently asked questions

What is TENESHA R LISBON (NP)'s NPI number?
TENESHA R LISBON (NP)'s NPI is 1356779458 — the number used across U.S. healthcare to identify this provider.
Is there an active status for TENESHA R LISBON (NP)?
For scheduling context, TENESHA R LISBON (NP) is shown as active in the registry.
What clinical focus is listed for TENESHA R LISBON (NP)?
At a glance, TENESHA R LISBON (NP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TENESHA R LISBON (NP)?
Directory geography for TENESHA R LISBON (NP) centers on Providence, Rhode Island.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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