LISA MARSHA JONES MD
NPI 1205990520
Internal Medicine - Gastroenterology in Weston, WI
About Lisa Marsha Jones Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARSHA JONES MD (NPI 1205990520) is an individual gastroenterology provider in Weston, Wisconsin, licensed in Wisconsin (62737) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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 Marsha Jones Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Lisa Jones reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Superior, WI 54880
- Reassigned Medicare billing, Minnesota enrollment
- 513 clinicians in this Medicare group
Grand Haven, MI 49417
- Reassigned Medicare billing, Michigan enrollment
- 145 clinicians in this Medicare group
Richmond, IN 47374
- Reassigned Medicare billing, Indiana enrollment
- 527 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 701 clinicians in this Medicare group
Valley, AL 36854
- Reassigned Medicare billing, Alabama enrollment
- 149 clinicians in this Medicare group
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 8
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reid Health
Acute Care Hospitals · Richmond, INHolland Community Hospital
Acute Care Hospitals · Holland, MISt Lukes Hospital
Acute Care Hospitals · Duluth, MNJohnston Health
Acute Care Hospitals · Smithfield, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WESTON, WI 54476
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 Jones's NPI number?
The NPI number for Lisa Jones is 1205990520. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Lisa Jones located?
Lisa Jones practices at 3501 Cranberry Blvd, Weston, WI 54476. The listed phone number is (715) 393-1000.
What is Lisa Jones's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Lisa Jones enrolled in Medicare?
Yes. Lisa Jones 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 organizations bill Medicare for Lisa Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jones reassigns Medicare benefits to 5 organizations: St. Luke's Hospital Of Duluth (Superior, WI), Holland Community Hospital (Grand Haven, MI), Reid Physician Associates, Inc. (Richmond, IN), North Carolina Mg, LLC (Raleigh, NC) and The East Alabama Health Care Authority (Valley, AL). Each 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 Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Jones accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Aspirus Health Plan and 5 other insurers list Lisa Jones 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.
Is Lisa Jones affiliated with any hospitals?
According to CMS data, Lisa Jones is affiliated with Reid Health, Holland Community Hospital, St Lukes Hospital and Johnston Health.
When was this NPI record last updated?
The NPPES record for Lisa Jones was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lisa Marsha Jones, MD · NPI 1205990520
Gastroenterology physician in Weston, Wisconsin. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1205990520 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 62737 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 CRANBERRY BLVD, Weston, WI 54476-5213
- **Phone:** (715) 393-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): St. Luke's Hospital Of Duluth (NPI 1528010667, Superior, WI); Holland Community Hospital (NPI 1225784580, Grand Haven, MI); Reid Physician Associates, Inc. (NPI 1265689111, Richmond, IN); North Carolina Mg, LLC (NPI 1215741640, Raleigh, NC); The East Alabama Health Care Authority (NPI 1780235002, Valley, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205990520) · Data from the CMS NPPES public registry.