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LISA DE LA FUENTE C.N.M.
NPI 1023038130
Advanced Practice Midwife in Corte Madera, CA

Active since July 20, 2006PECOS Enrolled
30 SEAWOLF PSGE, CORTE MADERA, CA 94925(415) 271-0979 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa De La Fuente C.n.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA DE LA FUENTE C.N.M. (NPI 1023038130) is an individual advanced practice midwife in Corte Madera, California, licensed in California (NMW1474) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023038130
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA DE LA FUENTECredential: C.N.M.
Location Address30 SEAWOLF PSGECorte Madera, CA 94925-1823
Mailing AddressPo Box 254869Sacramento, CA 95865-4869 · (916) 854-6975 · Fax (916) 854-6864
Phone(415) 271-0979
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateNovember 19, 2018
✔ NPI 1023038130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CA · NMW1474
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
30 SEAWOLF PSGE, Corte Madera, CA 94925
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa De La Fuente C.n.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa De La Fuente reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prima Medical Foundation
9.4 mi
Clinic/Center
4 HAMILTON LANDING, SUITE 100
Novato, CA 94949
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
NPI 1811217946 (415) 884-1840
Regents Univ Of California Ucsf
11 mi
Internal Medicine
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1124439807 (415) 476-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94925 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa De La Fuente's NPI number?

The NPI number for Lisa De La Fuente is 1023038130. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Lisa De La Fuente located?

Lisa De La Fuente practices at 30 Seawolf Psge, Corte Madera, CA 94925. The listed phone number is (415) 271-0979.

What is Lisa De La Fuente's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa De La Fuente enrolled in Medicare?

Yes. Lisa De La Fuente is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa De La Fuente's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa De La Fuente reassigns Medicare benefits to 2 organizations: Prima Medical Foundation (Novato, CA) and Regents Univ Of California Ucsf (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa De La Fuente's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa De La Fuente was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.