LISA MARIE LAUDERDALE ARNP
NPI 1043551328
Nurse Practitioner - Adult Health in Safety Harbor, FL
About Lisa Marie Lauderdale Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE LAUDERDALE ARNP (NPI 1043551328) is an individual adult health provider in Safety Harbor, Florida, licensed in Florida (ARNP1726292) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Marie Lauderdale Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Lauderdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clearwater, FL 33761
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
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 34695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
SAFETY HARBOR, FL 34695
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 Lauderdale's NPI number?
The NPI number for Lisa Lauderdale is 1043551328. It was assigned to this individual provider in the NPPES registry on March 11, 2013.
Where is Lisa Lauderdale located?
Lisa Lauderdale practices at 1840 Mease Dr Suite 402, Safety Harbor, FL 34695. The listed phone number is (727) 330-7652.
What is Lisa Lauderdale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Lisa Lauderdale enrolled in Medicare?
Yes. Lisa Lauderdale is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Lauderdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lauderdale reassigns Medicare benefits to Atta U Butt PA (Clearwater, FL). 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 Lauderdale'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 Lauderdale was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lisa Marie Lauderdale, ARNP · NPI 1043551328
Adult Health physician in Safety Harbor, Florida. Individual provider, active in the CMS NPPES registry since March 11, 2013.
## Identity
- **NPI:** 1043551328 (Entity type: Individual)
- **Enumerated:** March 11, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** ARNP1726292 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1840 MEASE DR, SUITE 402, Safety Harbor, FL 34695-6602
- **Phone:** (727) 330-7652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Atta U Butt PA (NPI 1871723288, Clearwater, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1043551328) · Data from the CMS NPPES public registry.