LISA PAULETTE PANISH
NPI 1073669172
Nurse Practitioner - Gerontology in Tampa, FL

Active since January 25, 2007PECOS Enrolled
9009 CORPORATE LAKE DR, TAMPA, FL 33634(727) 433-0157 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Paulette Panish NPPES

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

LISA PAULETTE PANISH (NPI 1073669172) is an individual gerontology provider in Tampa, Florida, licensed in Florida (APRN2975062) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073669172
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA PAULETTE PANISH
Location Address9009 CORPORATE LAKE DRTampa, FL 33634-2367
Mailing Address9009 Corporate Lake DrTampa, FL 33634-2367 · (727) 433-0157
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 19, 2019
NPI 1073669172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in FL · APRN2975062
9009 CORPORATE LAKE DR, Tampa, FL 33634

Other Names 1

Former Name (1)Lisa Paulette Wilson

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 Paulette Panish 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 33634 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.

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.

Nurse Practitioner (Adult Health)
9009 CORPORATE LAKE DR, STE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE #200
TAMPA, FL 33634
Nurse Practitioner (Adult Health)
9009 CORPORATE LAKE DR
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634
Nurse Practitioner (Family)
9009 CORPORATE LAKE DR, SUITE 200
TAMPA, FL 33634
Nurse Practitioner (Psychiatric/Mental Health)
9009 CORPORATE LAKE DR
TAMPA, FL 33634

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 Panish's NPI number?

The NPI number for Lisa Panish is 1073669172. It was assigned to this individual provider in the NPPES registry on January 25, 2007. The provider is also known as Lisa Paulette Wilson.

Where is Lisa Panish located?

Lisa Panish practices at 9009 Corporate Lake Dr, Tampa, FL 33634. The listed phone number is (727) 433-0157.

What is Lisa Panish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Panish enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Panish was last updated on August 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.