LISA LYNNETTE ANGELLE ACNP
NPI 1245631076
Nurse Practitioner - Acute Care in Gainesville, GA

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Nov 13, 2025, Dec 4, 2024 and 2 more (5 updates tracked since 2019).

About Lisa Lynnette Angelle Acnp NPPES

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

LISA LYNNETTE ANGELLE ACNP (NPI 1245631076) is an individual acute care provider in Gainesville, Georgia, licensed in Tennessee (18853) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245631076
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA LYNNETTE ANGELLECredential: ACNP
Location Address743 SPRING ST NEGainesville, GA 30501
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2014
Enumeration DateSeptember 11, 2014
Last NPPES UpdateMay 20, 20265 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1245631076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in TN · 18853 Licensed in GA · RN287463
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 18853 (TN)
743 SPRING ST NE, Gainesville, GA 30501

Secondary Practice Locations 2

Location 11940 Alcoa HwyKnoxville, TN 37920-2244 · Phone (865) 524-7471
Location 2907 E Lamar Alexander PkwyMaryville, TN 37804-5015 · Phone (865) 980-4897 · Fax (865) 977-4722

Other Identifiers 1

MedicaidQ008989TN

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 Lynnette Angelle Acnp 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 ID5597088120
PECOS Enrollment IDI20150106001353
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.

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501

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 Angelle's NPI number?

The NPI number for Lisa Angelle is 1245631076. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Where is Lisa Angelle located?

Lisa Angelle practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Lisa Angelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Angelle enrolled in Medicare?

Yes. Lisa Angelle 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.

Is Lisa Angelle affiliated with any hospitals?

According to CMS data, Lisa Angelle is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Angelle was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.