LISA MAGDALENO AGPCNP
NPI 1063298875
Nurse Practitioner - Primary Care in Oakland, CA

Q: What is Lisa Magdaleno's NPI number?

The NPI number for Lisa Magdaleno is 1063298875. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Q: What is Lisa Magdaleno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Magdaleno was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2023PECOS Enrolled

3451 E 12TH ST, OAKLAND, CA 94601(510) 535-3500 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Magdaleno Agpcnp NPPES

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

LISA MAGDALENO AGPCNP (NPI 1063298875) is an individual primary care provider in Oakland, California, licensed in California (95026202) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063298875

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameLISA MAGDALENOCredential: AGPCNP

Location Address3451 E 12TH STOakland, CA 94601-3463

Mailing Address6486 Flamingo DrBuena Park, CA 90620-1334

Phone(510) 535-3500

Sole ProprietorNo

Enumeration DateSeptember 6, 2023

NPPES CertifiedSeptember 6, 2023

✔ NPI 1063298875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95026202

Also ListedRegistered NurseTaxonomy 163W00000X · License 95260463 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95026202 (CA)

3451 E 12TH ST, Oakland, CA 94601

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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 Magdaleno Agpcnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

MARGARET GRACE PAYNE MD

Pediatrics