LISA M POULOS
NPI 1174561740
Nurse Practitioner - Psychiatric/Mental Health in Greensboro, NC

Q: What is Lisa Poulos's NPI number?

The NPI number for Lisa Poulos is 1174561740. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Lisa Poulos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Poulos was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 03, 2006PECOS EnrolledAccepts Medicare Assignment

603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410(336) 632-3505(336) 665-6188 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2019, Jul 16, 2019 (2 updates tracked since 2019).

On this page

About Lisa M Poulos NPPES

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

LISA M POULOS (NPI 1174561740) is an individual psychiatric/mental health provider in Greensboro, North Carolina, licensed in North Carolina (950023) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2004).

NPPES Registry Identity

NPI1174561740

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA M POULOS

Location Address603 DOLLEY MADISON RD STE 100Greensboro, NC 27410-4282

Mailing Address603 Dolley Madison Rd Ste 100Greensboro, NC 27410-4282 · (336) 632-3505 · Fax (336) 665-6188

Phone(336) 632-3505

Fax(336) 665-6188

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2004

Enumeration DateJune 3, 2006

Last NPPES UpdateNovember 14, 20192 updates tracked since enumeration

✔ NPI 1174561740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 950023

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 950023 (NC)

Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License 950023 (NC)

603 DOLLEY MADISON RD STE 100, Greensboro, NC 27410

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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 M Poulos 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 ID5698877553

PECOS Enrollment IDI20160131000005

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 Poulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Triad Psychiatric And Counseling Center PA

Same address

Psychiatry

603 DOLLEY MADISON RD STE 100
Greensboro, NC 27410

Reassigned Medicare billing, North Carolina enrollment
33 clinicians in this Medicare group

NPI 1285671602 (336) 632-3505

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

35 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27410 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 8

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

MRS. VIVETTE LANZAS MS, LMHC, LCMHC

Counselor (Mental Health)