LISA JOAN NELSON PA
NPI 1053065680
Physician Assistant - Medical in Geneva, NY

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
789 PRE EMPTION RD, GENEVA, NY 14456(315) 781-2000 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Mar 9, 2022, Feb 11, 2022 (3 updates tracked since 2022).

About Lisa Joan Nelson Pa NPPES

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

LISA JOAN NELSON PA (NPI 1053065680) is an individual medical provider in Geneva, New York, licensed in New York (029049) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Geneva General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053065680
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA JOAN NELSONCredential: PA
Location Address789 PRE EMPTION RDGeneva, NY 14456-2069
Mailing Address601b W Washington StGeneva, NY 14456-2119 · (315) 787-8151
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 11, 2022
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1053065680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 029049
789 PRE EMPTION RD, Geneva, NY 14456

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Joan Nelson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022488436
PECOS Enrollment IDI20221229001543
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geneva General Hospital

Acute Care Hospitals · Geneva, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330058
Location196 -198 North StreetGeneva, NY 14456 · Ontario County
Emergency services

Soldiers And Sailors Memorial Hospital Of Yates

Critical Access Hospitals · Penn Yan, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331314
Location418 North Main StreetPenn Yan, NY 14527 · Yates County
Emergency services

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner (Family)
789 PRE EMPTION RD, SUITE 600
GENEVA, NY 14456
Physician Assistant
789 PRE EMPTION RD
GENEVA, NY 14456
Orthopaedic Surgery
789 PRE EMPTION RD, SUITE 600
GENEVA, NY 14456
Physician Assistant (Surgical)
789 PRE EMPTION RD
GENEVA, NY 14456
Physical Therapist
789 PRE EMPTION RD, SUITE 500
GENEVA, NY 14456
Orthopaedic Surgery (Sports Medicine)
789 PRE EMPTION RD, SUITE 600
GENEVA, NY 14456
Physician Assistant
789 PRE EMPTION RD
GENEVA, NY 14456
Physical Therapist
789 PRE EMPTION RD, SUITE 500
GENEVA, NY 14456

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 Nelson's NPI number?

The NPI number for Lisa Nelson is 1053065680. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Lisa Nelson located?

Lisa Nelson practices at 789 Pre Emption Rd, Geneva, NY 14456. The listed phone number is (315) 781-2000.

What is Lisa Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Nelson enrolled in Medicare?

Yes. Lisa Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa Nelson affiliated with any hospitals?

According to CMS data, Lisa Nelson is affiliated with Geneva General Hospital and Soldiers And Sailors Memorial Hospital Of Yates.

When was this NPI record last updated?

The NPPES record for Lisa Nelson was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.