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LISA KOFFMAN
NPI 1164829230
Social Worker in Albuquerque, NM

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 975-5786 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Koffman NPPES

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

LISA KOFFMAN (NPI 1164829230) is an individual social worker in Albuquerque, New Mexico, licensed in New Mexico (M-08397) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164829230
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameLISA KOFFMAN
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address1501 San Pedro Dr SeAlbuquerque, NM 87108-5153 · (505) 975-5786
Phone(505) 975-5786
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 4, 2014
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1164829230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NM · M-08397
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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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 Koffman 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 ID4385114669
PECOS Enrollment IDI20260528000368
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 Reassignment

Medicare enrollment records show Lisa Koffman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lisa Koffman Lcsw LLC
1.4 mi
Clinical
1021 CARLISLE BLVD SE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
NPI 1558221879 (505) 908-1540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

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 Koffman's NPI number?

The NPI number for Lisa Koffman is 1164829230. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Lisa Koffman located?

Lisa Koffman practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 975-5786.

What is Lisa Koffman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Lisa Koffman enrolled in Medicare?

Yes. Lisa Koffman 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 organization bills Medicare for Lisa Koffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Koffman reassigns Medicare benefits to Lisa Koffman Lcsw LLC (Albuquerque, NM). The 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 Koffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Koffman was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.