LISA MA DNP
NPI 1235600636
Nurse Practitioner - Family in New York, NY

Active since December 10, 2018PECOS EnrolledAccepts Medicare Assignment
462 1ST AVE, NEW YORK, NY 10016(212) 238-7897 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Ma Dnp NPPES

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

LISA MA DNP (NPI 1235600636) is an individual family provider in New York, New York, licensed in New York (F343631) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1235600636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MACredential: DNP
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address125 Walker St Fl 2New York, NY 10013-4135 · (212) 226-8866 · Fax (212) 226-2289
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 10, 2018
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1235600636 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 NY · F343631
462 1ST AVE, New York, NY 10016

Other Identifiers 1

Medicaid05561702NY

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 Ma Dnp 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 ID7214277615
PECOS Enrollment IDI20210205000840
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

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 Ma's NPI number?

The NPI number for Lisa Ma is 1235600636. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Where is Lisa Ma located?

Lisa Ma practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 238-7897.

What is Lisa Ma's specialty?

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

Is Lisa Ma enrolled in Medicare?

Yes. Lisa Ma 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.

When was this NPI record last updated?

The NPPES record for Lisa Ma was last updated on October 13, 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.