LISA MARIE DEBOER (FNP) – Nurse Practitioner, NPI 1144548603
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA MARIE DEBOER (FNP)
PO BOX 1890
GONZALES, TX 786291390
Phone: (830) 672-6511
Type: Mailing
1104 JEFFERSON AVE
SEGUIN, TX 781555910
Phone: (830) 379-9797
Type: Location
111 S Laurel Ave
Luling, TX 786482624
Phone: (830) 875-6399
Type: Location
228 Saint George St
Gonzales, TX 786293910
Phone: (830) 672-6511
Type: Location
275 Jackson street
Bastrop, TX 786024316
Phone: (512) 321-7137
Fax: (512) 321-7137
Type: Location
2060 S Colorado St
Lockhart, TX 786443951
Phone: (830) 494-4001
Type: Location
12221 N MOPAC EXPY
AUSTIN, TX 787582401
Phone: (512) 901-4937
Type: Mailing
1330 WONDER WORLD DR
SUITE #101
SAN MARCOS, TX 786667566
Phone: (512) 805-0680
Fax: (512) 805-0682
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-09-26
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 |
|---|---|---|---|---|
| I20120926000393 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78629)
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