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

LISA WYMER
NPI 1104533298
Physician Assistant in Burlingame, CA

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
1501 TROUSDALE DR, BURLINGAME, CA 94010(650) 652-8700 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Wymer NPPES

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

LISA WYMER (NPI 1104533298) is an individual physician assistant in Burlingame, California, licensed in California (PA62257) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104533298
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA WYMER
Location Address1501 TROUSDALE DRBurlingame, CA 94010-4506
Mailing AddressPo Box 276950Sacramento, CA 95827-6950
Phone(650) 652-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1104533298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA62257
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1501 TROUSDALE DR, Burlingame, CA 94010
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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 and accepts Medicare assignment

Lisa Wymer 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 ID2163968223
PECOS Enrollment IDI20240724004464
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 94010 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
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

DR. GEOFFREY WAYNE KRAMPITZ M.D., PH.D.
Surgery (Surgical Oncology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
EVELYN KHOO MD
Family Medicine
1501 TROUSDALE DR, 3RD FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
RICHARD C LIU D.O.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 458-0032
DIRK BAUMANN M.D.
Surgery (Vascular Surgery)
1501 TROUSDALE DR, 5TH FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8787
DR. SAMI H BOGALE M.D.
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 696-5400
TAK POON MD
Internal Medicine (Cardiovascular Disease)
1501 TROUSDALE DR, 2ND FLOOR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600
KARIN K. WERTZ MD
Pediatrics
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8720
DR. AMIR ALI SCHRICKER M.D
Internal Medicine (Clinical Cardiac Electrophysiology)
1501 TROUSDALE DR
BURLINGAME, CA 94010
San Mateo County (650) 652-8600

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 Wymer's NPI number?

The NPI number for Lisa Wymer is 1104533298. It was assigned to this individual provider in the NPPES registry on October 31, 2022.

Where is Lisa Wymer located?

Lisa Wymer practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 652-8700.

What is Lisa Wymer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Wymer enrolled in Medicare?

Yes. Lisa Wymer 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.

When was this NPI record last updated?

The NPPES record for Lisa Wymer was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.