LISA C GRONBERG PA-C
NPI 1215255591
Physician Assistant in Mount Juliet, TN

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
325 OLD PLEASANT GROVE RD, MOUNT JULIET, TN 37122(629) 255-2134(629) 255-4156 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2024, Oct 23, 2017, Jan 25, 2017 and 1 more (4 updates tracked since 2017).

About Lisa C Gronberg Pa-c NPPES

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

LISA C GRONBERG PA-C (NPI 1215255591) is an individual physician assistant in Mount Juliet, Tennessee, licensed in Tennessee (1793) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215255591
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA C GRONBERGCredential: PA-C
Location Address325 OLD PLEASANT GROVE RDMount Juliet, TN 37122-4493
Mailing Address222 22nd Ave NNashville, TN 37203-1852 · (629) 255-3486
Fax(629) 255-4156
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 11, 2010
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1215255591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 1793
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
325 OLD PLEASANT GROVE RD, Mount Juliet, TN 37122

Other Names 1

Former Name (1)Lisa Pippen Pa-c

Other Identifiers 1

MedicaidQ004820TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa C Gronberg Pa-c 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 ID7911162417
PECOS Enrollment IDI20150717002025
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.

Areas of Expertise CMS Part B claims 25

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,900 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
446 services357 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
240 services177 patients
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.
179 services157 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
153 services130 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
139 services126 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37122 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dermatology
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Internal Medicine (Endocrinology, Diabetes & Metabolism)
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Otolaryngology
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Pediatrics
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Internal Medicine
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122
Nurse Practitioner (Family)
325 OLD PLEASANT GROVE RD
MT JULIET, TN 37122

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 Gronberg's NPI number?

The NPI number for Lisa Gronberg is 1215255591. It was assigned to this individual provider in the NPPES registry on May 11, 2010. The provider is also known as Lisa Pippen Pa-C.

Where is Lisa Gronberg located?

Lisa Gronberg practices at 325 Old Pleasant Grove Rd, Mount Juliet, TN 37122. The listed phone number is (629) 255-2134.

What is Lisa Gronberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Gronberg enrolled in Medicare?

Yes. Lisa Gronberg 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.

What insurance does Lisa Gronberg accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Lisa Gronberg 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 Gronberg affiliated with any hospitals?

According to CMS data, Lisa Gronberg is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Gronberg was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.