MS. LISA A OBERG N.P.P.
NPI 1174723779
Nurse Practitioner - Psychiatric/Mental Health in Latham, NY

Q: What is Lisa Oberg's NPI number?

The NPI number for Lisa Oberg is 1174723779. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Q: What is Lisa Oberg'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 Oberg was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 July 20, 2007PECOS Enrolled

11 CENTURY HILL DRIVE, SUITE 206, LATHAM, NY 12110(518) 713-4595(518) 713-4598 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Ms. Lisa A Oberg N.p.p. NPPES

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

MS. LISA A OBERG N.P.P. (NPI 1174723779) is an individual psychiatric/mental health provider in Latham, New York, licensed in New York (401070) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174723779

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. LISA A OBERGCredential: N.P.P.

Location Address11 CENTURY HILL DRIVE, SUITE 206Latham, NY 12110-2151

Mailing Address11 Century Hill DriveLatham, NY 12110-2151 · (518) 713-4595 · Fax (518) 713-4595

Phone(518) 713-4595

Fax(518) 713-4598

Sole ProprietorYes

Enumeration DateJuly 20, 2007

Last NPPES UpdateJanuary 4, 2012

✔ NPI 1174723779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0808X

License✔ Licensed in NY · 401070

11 CENTURY HILL DRIVE, Latham, NY 12110

Open in Google Maps ↗

Other Identifiers 1

Medicare PINRB6460NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa A Oberg N.p.p. 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.

Medicare Billing Reassignment

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

Oberg Psychiatric Nurse Practitioner, PLLC

6.6 mi

Local Education Agency (LEA)

855 ROUTE 146 STE 104
Clifton Park, NY 12065

Reassigned Medicare billing, New York enrollment

NPI 1558812297 (518) 630-6547

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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

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

DR. ROCCO M ZANINELLI M.D.

Psychiatry & Neurology (Psychiatry)

11 CENTURY HILL DRIVE
LATHAM, NY 12110

Albany County (518) 713-4595

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 Oberg's NPI number?

The NPI number for Lisa Oberg is 1174723779. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Lisa Oberg located?

Lisa Oberg practices at 11 Century Hill Drive Suite 206, Latham, NY 12110. The listed phone number is (518) 713-4595.

What is Lisa Oberg's specialty?

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

Is Lisa Oberg enrolled in Medicare?

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

Which organization bills Medicare for Lisa Oberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Oberg reassigns Medicare benefits to Oberg Psychiatric Nurse Practitioner, PLLC (Clifton Park, NY). 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 Oberg'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 Oberg was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.