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LISSA BOILEAU
NPI 1174840367
Nurse Practitioner - Psychiatric/Mental Health in Ronkonkoma, NY

Active since April 27, 2010PECOS EnrolledAccepts Medicare Assignment
2 THE PLZ, RONKONKOMA, NY 11779(631) 676-2765 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2026, Feb 6, 2025 (2 updates tracked since 2025).

About Lissa Boileau NPPES

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

LISSA BOILEAU (NPI 1174840367) is an individual psychiatric/mental health provider in Ronkonkoma, New York, licensed in New York (406771) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174840367
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISSA BOILEAU
Location Address2 THE PLZRonkonkoma, NY 11779-5849
Mailing Address2100 Nesconset Hwy # 1060Stony Brook, NY 11790-3503 · (646) 789-5877 · Fax (888) 253-5730
Phone(631) 676-2765
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 27, 2010
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1174840367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 406771
Also ListedRegistered NurseTaxonomy 163W00000X · License 22609284 (NY)
2 THE PLZ, Ronkonkoma, NY 11779
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Lissa Boileau 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 ID1759865991
PECOS Enrollment IDI20260325001783
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 Lissa Boileau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrative Wellness Nurse Practitioner In Psychiatry PLLC
45 mi
Psychiatric/Mental Health
157 E 86TH ST STE 4
New York, NY 10028
  • Reassigned Medicare billing, New York enrollment
  • 35 clinicians in this Medicare group
NPI 1336745058 (718) 790-4511

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 11779 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Lissa Boileau's NPI number?

The NPI number for Lissa Boileau is 1174840367. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Where is Lissa Boileau located?

Lissa Boileau practices at 2 The Plz, Ronkonkoma, NY 11779. The listed phone number is (631) 676-2765.

What is Lissa Boileau's specialty?

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

Is Lissa Boileau enrolled in Medicare?

Yes. Lissa Boileau 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 Lissa Boileau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lissa Boileau reassigns Medicare benefits to Integrative Wellness Nurse Practitioner In Psychiatry PLLC (New York, 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 Lissa Boileau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lissa Boileau accept?

Health plans from Oscar Health list Lissa Boileau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lissa Boileau was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.