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

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: August 09, 2026.

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
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Other Identifiers 1

Medicare PINRB6460NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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.