Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA GAYE INGRAM MSN, APRN, FNP
NPI 1104456235
Nurse Practitioner - Family in Macon, GA

Active since January 16, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2026, Jan 16, 2020 (2 updates tracked since 2020).

About Lisa Gaye Ingram Msn, Aprn, Fnp NPPES

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

LISA GAYE INGRAM MSN, APRN, FNP (NPI 1104456235) is an individual family provider in Macon, Georgia, licensed in Georgia (RN062064) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104456235
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA GAYE INGRAMCredential: MSN, APRN, FNP
Location Address1544 BASS RDMacon, GA 31210-7510
Mailing Address1544 Bass RdMacon, GA 31210-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 16, 2020
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1104456235 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 GA · RN062064
1544 BASS RD, Macon, GA 31210

Accepted Insurance

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 Gaye Ingram Msn, Aprn, Fnp 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.

PECOS PAC ID8820426455
PECOS Enrollment IDI20200314000001
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Ingram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
502 W MAIN ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
Geriatric Medicine
217 6TH AVE N STE 43952
Nashville, TN 37219
  • Reassigned Medicare billing, Georgia enrollment
  • 39 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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 12

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

Pharmacy
1544 BASS RD
MACON, GA 31210
Nurse Practitioner (Family)
1544 BASS RD
MACON, GA 31210
Nurse Practitioner (Family)
1544 BASS RD
MACON, GA 31210
Nurse Practitioner (Family)
1544 BASS RD
MACON, GA 31210
Pharmacist
1544 BASS RD
MACON, GA 31210
Nurse Practitioner (Family)
1544 BASS RD
MACON, GA 31210
Nurse Practitioner (Family)
1544 BASS RD
MACON, GA 31210
Pharmacist
1544 BASS RD
MACON, GA 31210

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 Ingram's NPI number?

The NPI number for Lisa Ingram is 1104456235. It was assigned to this individual provider in the NPPES registry on January 16, 2020.

Where is Lisa Ingram located?

Lisa Ingram practices at 1544 Bass Rd, Macon, GA 31210. The listed phone number is (866) 389-2727.

What is Lisa Ingram's specialty?

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

Is Lisa Ingram enrolled in Medicare?

Yes. Lisa Ingram 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 Ingram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ingram reassigns Medicare benefits to 2 organizations: Sabrina Lancaster Np-C Inc. (Thomaston, GA) and Ultra Health Providers II LLC (Nashville, TN). 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 Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Ingram accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Lisa Ingram 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 Lisa Ingram was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.