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LISA MARIE VALDEZ FNP
NPI 1265679328
Nurse Practitioner - Family in Buford, GA

Active since January 12, 2009PECOS Enrolled
4251 SECRET SHOALS WAY, BUFORD, GA 30518(407) 619-0910(407) 619-0910 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jan 14, 2016 (2 updates tracked since 2016).

About Lisa Marie Valdez Fnp NPPES

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

LISA MARIE VALDEZ FNP (NPI 1265679328) is an individual family provider in Buford, Georgia, licensed in Georgia (RN197799) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265679328
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE VALDEZCredential: FNP
Location Address4251 SECRET SHOALS WAYBuford, GA 30518-8855
Mailing Address4251 Secret Shoals WayBuford, GA 30518-8855 · (407) 619-0910 · Fax (407) 619-0910
Phone(407) 619-0910
Fax(407) 619-0910
Sole ProprietorYes
Enumeration DateJanuary 12, 2009
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1265679328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN197799
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN197799 (GA)
4251 SECRET SHOALS WAY, Buford, GA 30518
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Valdez Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Valdez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gwinnett Hospital System Gme, LLC
10.0 mi
Family Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 41 clinicians in this Medicare group
NPI 1780076927 (855) 709-4535
Grady Memorial Hospital Corporation
33 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Valdez's NPI number?

The NPI number for Lisa Valdez is 1265679328. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Lisa Valdez located?

Lisa Valdez practices at 4251 Secret Shoals Way, Buford, GA 30518. The listed phone number is (407) 619-0910.

What is Lisa Valdez's specialty?

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

Is Lisa Valdez enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Valdez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Valdez reassigns Medicare benefits to 2 organizations: Gwinnett Hospital System Gme, LLC (Lawrenceville, GA) and Grady Memorial Hospital Corporation (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Valdez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Valdez accept?

Health plans from CareSource and Oscar Health list Lisa Valdez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Valdez was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.