LISA MARIE WANGBERG (FNP/DNP) – Family Nurse Practitioner, NPI 1962110429
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for LISA MARIE WANGBERG (FNP/DNP)
303 VALLEYWOOD DR
FOREST, VA 245512809
Phone: (907) 775-2407
Type: Mailing
1505 FRANKLIN RD SW
ROANOKE, VA 240165206
Phone: (540) 343-7331
Fax: (540) 343-7349
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GENZYME CORPORATION ($120).
Total Amount
$576
General + Research + Ownership
Payments
25
Total payment records
General Amount
$576
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
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: 2023-01-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230120001180 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 95012 | Test to measure the level of nitric oxide gas | 27 | 23 | $0 |
| 94010 | Test to measure expiratory airflow and volume | 17 | 15 | $0 |
| 94375 | Test to measure rate of airflow | 17 | 14 | $0 |
Insurance plans in this area (ZIP 24551)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | VA | |
| A L L E R G Y/ I M M U N O L O G Y | VA | |
| A L L E R G Y/ I M M U N O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Allergy/Immunology, Pediatric Medicine | VA |
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