DR. KRISTINA ANNE LISHAWA M.D.
NPI 1063425205
Pediatrics in Traverse City, MI

Active since August 15, 2006PECOS Enrolled
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 922-9270(231) 922-9271 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kristina Anne Lishawa M.d. NPPES

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

DR. KRISTINA ANNE LISHAWA M.D. (NPI 1063425205) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4301094127) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063425205
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KRISTINA ANNE LISHAWACredential: M.D.
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing AddressPo Box 107Traverse City, MI 49685-0107 · (231) 922-9270 · Fax (231) 922-9271
Fax(231) 922-9271
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1063425205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301094127
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301094127 (MI)
1105 SIXTH ST, Traverse City, MI 49684

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kristina Anne Lishawa M.d. 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 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
1105 SIXTH ST
TRAVERSE CITY, MI 49684

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 Kristina Lishawa's NPI number?

The NPI number for Kristina Lishawa is 1063425205. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Kristina Lishawa located?

Kristina Lishawa practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 922-9270.

What is Kristina Lishawa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristina Lishawa enrolled in Medicare?

Yes. Kristina Lishawa is registered in the Medicare PECOS enrollment system.

What insurance does Kristina Lishawa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kristina Lishawa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Lishawa was last updated on January 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.