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DR. LISA HAMILTON MD
NPI 1144603374
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since July 07, 2015PECOS Enrolled
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5872(719) 562-5097 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Apr 11, 2025, Sep 13, 2019 (3 updates tracked since 2019).

About Dr. Lisa Hamilton Md NPPES

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

DR. LISA HAMILTON MD (NPI 1144603374) is an individual student in an organized health care education/training program in Pueblo, Colorado, licensed in Colorado (TL.0010912) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144603374
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LISA HAMILTONCredential: MD
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address902 Lakeview AvePueblo, CO 81004-3597 · (719) 557-5872 · Fax (719) 557-4780
Phone(719) 557-5872
Fax(719) 562-5097
Sole ProprietorNo
Enumeration DateJuly 7, 2015
Last NPPES UpdateJuly 18, 20253 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1144603374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL.0010912
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 29315 (WV), TRN23500 (FL)
Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0010912 (CO)
Also ListedInternal MedicineTaxonomy 207R00000X · License L808570 (MI)
902 LAKEVIEW AVE, Pueblo, CO 81004
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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 (PECOS)

Dr. Lisa Hamilton Md 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$80.69 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 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.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. SUHAILA OBAIDALLA MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872

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 Hamilton's NPI number?

The NPI number for Lisa Hamilton is 1144603374. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Lisa Hamilton located?

Lisa Hamilton practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5872.

What is Lisa Hamilton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lisa Hamilton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Hamilton was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.