LISA MARIE STUBBS (PA-C) – Physician Assistant, NPI 1427222827

LISA MARIE STUBBS (PA-C) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6291261-1206 (UT). The NPI Number for LISA MARIE STUBBS (PA-C) is 1427222827

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
LISA MARIE STUBBS (PA-C)
NPI
1427222827
Phone
(801) 373-2001
Address
1900 N STATE ST
Enumeration Date
16 April 2008
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013732001
Graduation Year
2006 (20 years ago)
PAC ID
2769619865
Group Practice PAC ID
7315917697
Professional Enrollment ID
I20131217001195
Address ID
UT846041341PR1900XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

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Provider Addresses for LISA MARIE STUBBS (PA-C)

  • 1900, North State Street, Carterville, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846041305

    Phone: (801) 373-2001

    Fax: (801) 373-4748

    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 113 Open Payments records for all available years, with a total value of $1,665.

Total Amount is formed as General ($1,665) + Research ($0) + Ownership ($0) = $1,665.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($618).

Total Amount

$1,665

General + Research + Ownership

Payments

113

Total payment records

General Amount

$1,665

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: 2013-12-17

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
I20131217001195IPhysician AssistantUTTBD

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 minutes7133$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2525$0
G0444Annual depression screening, 5 to 15 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 7315917697View full group profile
NameSpecialtyState
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Family PracticeUT
Nurse PractitionerOR
Family PracticeUT
Nurse PractitionerUT
-UT
Physician AssistantUT

Reviews

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Frequently asked questions

What is LISA MARIE STUBBS (PA-C)'s NPI number?
LISA MARIE STUBBS (PA-C)'s NPI is 1427222827 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LISA MARIE STUBBS (PA-C)?
You should see LISA MARIE STUBBS (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe LISA MARIE STUBBS (PA-C)'s focus?
For LISA MARIE STUBBS (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LISA MARIE STUBBS (PA-C) associated with Provo?
Public fields place LISA MARIE STUBBS (PA-C) around Provo, Utah. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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