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LISA MICHELLE ROSSBACH
NPI 1053146225
Nurse Practitioner in Saint Petersburg, FL

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment
11400 4TH ST N APT 604, SAINT PETERSBURG, FL 33716(248) 854-1554 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 29, 2024, Dec 12, 2024, Sep 5, 2024 (3 updates tracked since 2024).

About Lisa Michelle Rossbach NPPES

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

LISA MICHELLE ROSSBACH (NPI 1053146225) is an individual nurse practitioner in Saint Petersburg, Florida, licensed in Michigan (4704264456) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053146225
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA MICHELLE ROSSBACH
Location Address11400 4TH ST N APT 604Saint Petersburg, FL 33716-2928
Mailing Address1526 Devonshire DrTroy, MI 48098-4375 · (248) 854-1554
Phone(248) 854-1554
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 5, 2024
Last NPPES UpdateDecember 29, 20243 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1053146225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704264456
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · SchoolTaxonomy 363LS0200X · License RN9287905 (FL)
11400 4TH ST N APT 604, Saint Petersburg, FL 33716
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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 Michelle Rossbach 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 ID7012427560
PECOS Enrollment IDI20250612001226
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33716 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Rossbach's NPI number?

The NPI number for Lisa Rossbach is 1053146225. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Lisa Rossbach located?

Lisa Rossbach practices at 11400 4th St N Apt 604, Saint Petersburg, FL 33716. The listed phone number is (248) 854-1554.

What is Lisa Rossbach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Rossbach enrolled in Medicare?

Yes. Lisa Rossbach 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.

When was this NPI record last updated?

The NPPES record for Lisa Rossbach was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.