LISA M ANDERSEN PAC
NPI 1225389117
Physician Assistant - Medical in Lorain, OH

Q: What is Lisa Andersen's NPI number?

The NPI number for Lisa Andersen is 1225389117. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Q: What is Lisa Andersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Andersen was last updated on December 13, 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.

Active since October 02, 2012PECOS EnrolledAccepts Medicare Assignment

5700 COOPER FOSTER PARK RD W, LORAIN, OH 44053(440) 204-7400(440) 204-7203 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lisa M Andersen Pac NPPES

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

LISA M ANDERSEN PAC (NPI 1225389117) is an individual medical provider in Lorain, Ohio, licensed in California (PA22548) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1225389117

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA M ANDERSENCredential: PAC

Location Address5700 COOPER FOSTER PARK RD WLorain, OH 44053-4152

Mailing AddressPo Box 3699Newport Beach, CA 92659-8699 · (949) 574-4638 · Fax (949) 574-4680

Phone(440) 204-7400

Fax(440) 204-7203

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 2, 2012

Last NPPES UpdateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1225389117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA22548

5700 COOPER FOSTER PARK RD W, Lorain, OH 44053

Open in Google Maps ↗

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 M Andersen Pac 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 ID5799935557

PECOS Enrollment IDI20180627003806

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 5

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.

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.

175 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

26 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services12 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.

12 services11 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers16 claims38 services$6.39 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

KAITLIN DAVIS CNP

Nurse Practitioner