MRS. LISA M SIMONIAN NP
NPI 1144203266
Nurse Practitioner - Adult Health in Cambridge, MA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
1575 CAMBRIDGE ST, YOUVILLE HOSPITAL, CAMBRIDGE, MA 02138(617) 876-4344(617) 234-7981 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lisa M Simonian Np NPPES

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

MRS. LISA M SIMONIAN NP (NPI 1144203266) is an individual adult health provider in Cambridge, Massachusetts, licensed in Massachusetts (194643) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1144203266
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LISA M SIMONIANCredential: NP
Location Address1575 CAMBRIDGE ST, YOUVILLE HOSPITALCambridge, MA 02138-4398
Mailing Address46 Anderson DrMethuen, MA 01844-7409 · (978) 685-9121 · Fax (617) 234-7981
Fax(617) 234-7981
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 22, 2005
Last NPPES UpdateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
NPI 1144203266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MA · 194643
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN194643 (MA)
1575 CAMBRIDGE ST, Cambridge, MA 02138

Accepted Insurance

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

Mrs. Lisa M Simonian Np 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 ID648173864
PECOS Enrollment IDI20040127000808
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
372 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
221 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%26 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
2 suppliers17 claims17 services$30.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.44 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$36.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Social Worker (Clinical)
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Nurse Practitioner
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Long Term Care Hospital
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Internal Medicine
1575 CAMBRIDGE ST, DIVISION OF INTERNAL MEDICINE
CAMBRIDGE, MA 02138
Physical Therapist
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138
Nurse Practitioner (Adult Health)
1575 CAMBRIDGE ST, YOUVILLE HOSPITAL
CAMBRIDGE, MA 02138
Long Term Care Hospital
1575 CAMBRIDGE ST
CAMBRIDGE, MA 02138

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 Simonian's NPI number?

The NPI number for Lisa Simonian is 1144203266. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Lisa Simonian located?

Lisa Simonian practices at 1575 Cambridge St Youville Hospital, Cambridge, MA 02138. The listed phone number is (617) 876-4344.

What is Lisa Simonian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Simonian enrolled in Medicare?

Yes. Lisa Simonian 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.

What insurance does Lisa Simonian accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Simonian 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.

Is Lisa Simonian affiliated with any hospitals?

According to CMS data, Lisa Simonian is affiliated with Massachusetts General Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Simonian was last updated on December 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.