LISA ANNE BRANNACK DNP
NPI 1174096887
Nurse Practitioner - Family in Middleburg Heights, OH

Q: What is Lisa Brannack's NPI number?

The NPI number for Lisa Brannack is 1174096887. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Q: What is Lisa Brannack'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 Brannack was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since January 04, 2019PECOS Enrolled

16600 W SPRAGUE RD STE 120, MIDDLEBURG HEIGHTS, OH 44130(440) 826-0500 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Dec 6, 2022, Jan 4, 2019 (3 updates tracked since 2019).

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About Lisa Anne Brannack Dnp NPPES

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

LISA ANNE BRANNACK DNP (NPI 1174096887) is an individual family provider in Middleburg Heights, Ohio, licensed in Ohio (APRN.CNP.0031976) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174096887

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ANNE BRANNACKCredential: DNP

Location Address16600 W SPRAGUE RD STE 120Middleburg Heights, OH 44130-6300

Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 266-4200

Phone(440) 826-0500

Sole ProprietorNo

Enumeration DateJanuary 4, 2019

Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1174096887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.0031976

16600 W SPRAGUE RD STE 120, Middleburg Heights, OH 44130

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Secondary Practice Locations 2

Location 1989 University Dr Ste 101Pontiac, MI 48342-1885 · Phone (248) 334-4773

Location 226110 Emery Rd Ste 300Warrensville Heights, OH 44128-5788 · Phone (440) 368-6868 · Fax (440) 368-6866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Anne Brannack Dnp 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.

Areas of Expertise CMS Part B claims 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

39 services34 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBRA DEFRANCO FNP-C

Nurse Practitioner (Family)