LISSIE JEANNINE VIGIL ROMERO NURSE PRACTITIONER
NPI 1235819921
Nurse Practitioner - Family in Los Angeles, CA

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
2100 W 3RD ST STE 220, LOS ANGELES, CA 90057(323) 765-6660 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lissie Jeannine Vigil Romero Nurse Practitioner NPPES

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

LISSIE JEANNINE VIGIL ROMERO NURSE PRACTITIONER (NPI 1235819921) is an individual family provider in Los Angeles, California, licensed in California (95022988) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235819921
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISSIE JEANNINE VIGIL ROMEROCredential: NURSE PRACTITIONER
Location Address2100 W 3RD ST STE 220Los Angeles, CA 90057-1993
Mailing AddressAltamed Health Services Corp, 2040 Camfield Ave.Commerce, CA 90040 · (323) 765-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2023
NPPES CertifiedJanuary 7, 2023
NPI 1235819921 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 CA · 95022988
2100 W 3RD ST STE 220, Los Angeles, CA 90057

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

Lissie Jeannine Vigil Romero Nurse Practitioner 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 ID2163876970
PECOS Enrollment IDI20260309001942
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 90057 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Dentist (General Practice)
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Dentist (Pediatric Dentistry)
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057
Internal Medicine
2100 W 3RD ST STE 220
LOS ANGELES, CA 90057

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 Lissie Vigil Romero's NPI number?

The NPI number for Lissie Vigil Romero is 1235819921. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Lissie Vigil Romero located?

Lissie Vigil Romero practices at 2100 W 3rd St Ste 220, Los Angeles, CA 90057. The listed phone number is (323) 765-6660.

What is Lissie Vigil Romero's specialty?

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

Is Lissie Vigil Romero enrolled in Medicare?

Yes. Lissie Vigil Romero 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 Lissie Vigil Romero was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.