Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. LISA BEVERLY MODESTO MSN, FNP-C
NPI 1225942212
Nurse Practitioner - Family in Indianapolis, IN

Q: What is Lisa Modesto's NPI number?

The NPI number for Lisa Modesto is 1225942212. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Q: What is Lisa Modesto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Modesto was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 September 29, 2026

8821 MALLARD GREEN DR, INDIANAPOLIS, IN 46234(317) 414-9721 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Ms. Lisa Beverly Modesto Msn, Fnp-c NPPES

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

MS. LISA BEVERLY MODESTO MSN, FNP-C (NPI 1225942212) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (F09261202) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1225942212

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. LISA BEVERLY MODESTOCredential: MSN, FNP-C

Location Address8821 MALLARD GREEN DRIndianapolis, IN 46234-9535

Mailing Address8821 Mallard Green DrIndianapolis, IN 46234-9535 · (317) 414-9721

Phone(317) 414-9721

Sole ProprietorNo

Enumeration DateSeptember 29, 2026

NPPES CertifiedSeptember 29, 2026

✔ NPI 1225942212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · F09261202

8821 MALLARD GREEN DR, Indianapolis, IN 46234

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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 Modesto's NPI number?

The NPI number for Lisa Modesto is 1225942212. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Lisa Modesto located?

Lisa Modesto practices at 8821 Mallard Green Dr, Indianapolis, IN 46234. The listed phone number is (317) 414-9721.

What is Lisa Modesto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Modesto was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.