LISA MARIE SMITH CRNP
NPI 1073225751
Nurse Practitioner - Psychiatric/Mental Health in Broomall, PA
About Lisa Marie Smith Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARIE SMITH CRNP (NPI 1073225751) is an individual psychiatric/mental health provider in Broomall, Pennsylvania, licensed in Pennsylvania (SP025105) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Marie Smith Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Media, PA 19063
- Reassigned Medicare billing, Pennsylvania enrollment
- 353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMALL, PA 19008
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 Smith's NPI number?
The NPI number for Lisa Smith is 1073225751. It was assigned to this individual provider in the NPPES registry on December 14, 2022.
Where is Lisa Smith located?
Lisa Smith practices at 600 Abbott Dr, Broomall, PA 19008. The listed phone number is (888) 227-3898.
What is Lisa Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lisa Smith enrolled in Medicare?
Yes. Lisa Smith 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.
Which organizations bill Medicare for Lisa Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Smith reassigns Medicare benefits to 2 organizations: Main Line Healthcare (Newtown Square, PA) and Delaware County Professional Services, Inc (Media, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Smith was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Lisa Marie Smith, CRNP · NPI 1073225751
Psychiatric/Mental Health physician in Broomall, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 14, 2022.
## Identity
- **NPI:** 1073225751 (Entity type: Individual)
- **Enumerated:** December 14, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP025105 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 ABBOTT DR, Broomall, PA 19008-4317
- **Phone:** (888) 227-3898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Main Line Healthcare (NPI 1922077643, Newtown Square, PA); Delaware County Professional Services, Inc (NPI 1952485864, Media, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1073225751) · Data from the CMS NPPES public registry.