LISA DIANE CARBONI CRNP - NPI 1114652989 - Nurse Practitioner in Birmingham, AL

Q: What is Lisa Carboni's NPI number?

The NPI number for Lisa Carboni is 1114652989. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Q: What is Lisa Carboni's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Carboni was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Diane Carboni Crnp NPPES

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

LISA DIANE CARBONI CRNP (NPI 1114652989) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-106255) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114652989

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA DIANE CARBONICredential: CRNP

Location Address1 W LAKESHORE DR STE 100Birmingham, AL 35209-7271

Mailing Address1 W Lakeshore Dr Ste 100Birmingham, AL 35209-7271 · (205) 726-2835 · Fax (205) 408-9931

Phone(205) 726-2835

Fax(205) 408-9931

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 18, 2022

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1114652989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-106255

Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X · License 1-106255 (AL)

1 W LAKESHORE DR STE 100, Birmingham, AL 35209

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Secondary Practice Location 1

Location 15502 Caldwell Mill RdBirmingham, AL 35242-4545 · Phone (205) 533-8088

Other Identifiers 1

Medicaid830665500AL

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 Diane Carboni Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921514126

PECOS Enrollment IDI20250723003619

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 35209 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.