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LISA GRUBB APRN
NPI 1063256618
Nurse Practitioner - Family in Williamsburg, KY

Active since June 19, 2024PECOS Enrolled
2932 N HIGHWAY 25 W, WILLIAMSBURG, KY 40769(606) 515-6051 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Jun 19, 2024 (2 updates tracked since 2024).

About Lisa Grubb Aprn NPPES

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

LISA GRUBB APRN (NPI 1063256618) is an individual family provider in Williamsburg, Kentucky, licensed in Kentucky (4023229) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063256618
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA GRUBBCredential: APRN
Location Address2932 N HIGHWAY 25 WWilliamsburg, KY 40769-8633
Mailing AddressPo Box 1535Barbourville, KY 40906-5535
Phone(606) 515-6051
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1063256618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4023229
2932 N HIGHWAY 25 W, Williamsburg, KY 40769
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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 (PECOS)

Lisa Grubb Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416468152
PECOS Enrollment IDI20250618002871
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 40769 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

FAMILY HEALTH CARE ASSOCIATES 9
Clinic/Center (Rural Health)
2932 N HIGHWAY 25 W
WILLIAMSBURG, KY 40769
Whitley County (606) 546-7777

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 Grubb's NPI number?

The NPI number for Lisa Grubb is 1063256618. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Lisa Grubb located?

Lisa Grubb practices at 2932 N Highway 25 W, Williamsburg, KY 40769. The listed phone number is (606) 515-6051.

What is Lisa Grubb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Grubb enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Grubb was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.