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MRS. LISA M SERSHON PA-C
NPI 1245514702
Physician Assistant in Grafton, WI

Active since October 03, 2011PECOS Enrolled
975 PORT WASHINGTON RD, GRAFTON, WI 53024(262) 329-1000(262) 329-1001 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa M Sershon Pa-c NPPES

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

MRS. LISA M SERSHON PA-C (NPI 1245514702) is an individual physician assistant in Grafton, Wisconsin, licensed in Wisconsin (2854-23) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1245514702
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LISA M SERSHONCredential: PA-C
Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (262) 329-1000 · Fax (262) 329-1001
Phone(262) 329-1000
Fax(262) 329-1001
Sole ProprietorNo
Enumeration DateOctober 3, 2011
Last NPPES UpdateJanuary 4, 2021
NPPES CertifiedJanuary 4, 2021
✔ NPI 1245514702 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 WI · 2854-23
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.
975 PORT WASHINGTON RD, Grafton, WI 53024
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Secondary Practice Location 1

Location 13237 S 16th StMilwaukee, WI 53215-4526 · Phone (414) 769-4040 · Fax (414) 769-4041

Other Identifiers 1

Medicaid100017857WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa M Sershon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53024 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

ANNE R. HARLEY P.T.
Physical Therapist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
MRS. MARGARET AIKINS KEUP APNP
Nurse Practitioner (Acute Care)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
DR. TYLER ANDREW FRISQUE PHARMD
Pharmacist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1600
CAITLIN DERENNE PA
Physician Assistant
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (360) 606-4292
DR. TIMOTHY JARON POW M.D.
Internal Medicine (Interventional Cardiology)
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-8150
REBEKAH L OTTE NP
Nurse Practitioner
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-8150
HAMID ABBAS AFSARI D.O.
Hospitalist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-1000
JESSICA BROOKS RYAN SLP
Speech-Language Pathologist
975 PORT WASHINGTON RD
GRAFTON, WI 53024
Ozaukee County (262) 329-2700

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 Sershon's NPI number?

The NPI number for Lisa Sershon is 1245514702. It was assigned to this individual provider in the NPPES registry on October 3, 2011.

Where is Lisa Sershon located?

Lisa Sershon practices at 975 Port Washington Rd, Grafton, WI 53024. The listed phone number is (262) 329-1000.

What is Lisa Sershon's specialty?

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

Is Lisa Sershon enrolled in Medicare?

Yes. Lisa Sershon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Sershon was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.