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MRS. LISA DIANNE HINEMAN N.P.
NPI 1043375785
Nurse Practitioner - Adult Health in Los Angeles, CA

Active since December 22, 2006PECOS Enrolled
1245 WILSHIRE BLVD STE 303, LOS ANGELES, CA 90017(213) 977-1214(213) 482-8868 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lisa Dianne Hineman N.p. NPPES

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

MRS. LISA DIANNE HINEMAN N.P. (NPI 1043375785) is an individual adult health provider in Los Angeles, California, licensed in California (NPF 13556) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043375785
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LISA DIANNE HINEMANCredential: N.P.
Location Address1245 WILSHIRE BLVD STE 303Los Angeles, CA 90017-4803
Mailing Address541 W Colorado St Ste 205Glendale, CA 91204-3640 · (323) 254-0046 · Fax (323) 488-9782
Phone(213) 977-1214
Fax(213) 482-8868
Sole ProprietorNo
Enumeration DateDecember 22, 2006
Last NPPES UpdateJanuary 11, 2019
✔ NPI 1043375785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NPF 13556
1245 WILSHIRE BLVD STE 303, Los Angeles, CA 90017
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Dianne Hineman N.p. 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 Reassignment

Medicare enrollment records show Lisa Hineman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles Hematology-Oncology Medical Group
Same address
Specialist
1245 WILSHIRE BLVD STE 303
Los Angeles, CA 90017
  • Reassigned Medicare billing, California enrollment
  • 59 clinicians in this Medicare group
NPI 1457409674 (213) 977-1214

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 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASNA SHILLEH NP
Nurse Practitioner (Family)
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214
ALEXANDER HANJOON SONG MD
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214
SEONG IL KIM MD
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214
MIA WONG NP
Nurse Practitioner
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214
LOS ANGELES HEMATOLOGY-ONCOLOGY MEDICAL GROUP
Specialist
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214
SUNGWON RACHEL KYUNG M.D.
Internal Medicine (Hematology & Oncology)
1245 WILSHIRE BLVD STE 303
LOS ANGELES, CA 90017
Los Angeles County (213) 977-1214

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 Hineman's NPI number?

The NPI number for Lisa Hineman is 1043375785. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Lisa Hineman located?

Lisa Hineman practices at 1245 Wilshire Blvd Ste 303, Los Angeles, CA 90017. The listed phone number is (213) 977-1214.

What is Lisa Hineman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Hineman enrolled in Medicare?

Yes. Lisa Hineman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Hineman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hineman reassigns Medicare benefits to Los Angeles Hematology-Oncology Medical Group (Los Angeles, CA). The 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 Hineman'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 Hineman was last updated on January 11, 2019. 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.