LISA LARAINE SOUTH NP
NPI 1275307472
Nurse Practitioner - Gerontology in Houston, TX

Active since November 08, 2023PECOS EnrolledAccepts Medicare Assignment
6720 BERTNER AVE, HOUSTON, TX 77030(832) 355-2666 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, Sep 26, 2024, Nov 8, 2023 (3 updates tracked since 2023).

About Lisa Laraine South Np NPPES

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

LISA LARAINE SOUTH NP (NPI 1275307472) is an individual gerontology provider in Houston, Texas, licensed in Texas (1134088) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kenner, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275307472
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA LARAINE SOUTHCredential: NP
Location Address6720 BERTNER AVEHouston, TX 77030-2604
Mailing Address9373 N Walker RdCleveland, TX 77328-5835 · (832) 797-9670
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 8, 2023
Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1275307472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1134088
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 1134088 (TX)
6720 BERTNER AVE, Houston, TX 77030

Secondary Practice Location 1

Location 1180 W Esplanade AveKenner, LA 70065-2467 · Phone (504) 464-8506

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Laraine South Np 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 ID7012353725
PECOS Enrollment IDI20241011003391
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 Reassignment

Medicare enrollment records show Lisa South reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Genetics, Ph.D. Medical Genetics
7200 CAMBRIDGE ST FL 10
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,554 clinicians in this Medicare group

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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Radiology (Vascular & Interventional Radiology)
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine (Critical Care Medicine)
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030
Internal Medicine
6720 BERTNER AVE
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiologist Assistant
6720 BERTNER AVE
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER AVE
HOUSTON, TX 77030

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 South's NPI number?

The NPI number for Lisa South is 1275307472. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Lisa South located?

Lisa South practices at 6720 Bertner Ave, Houston, TX 77030. The listed phone number is (832) 355-2666.

What is Lisa South's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa South enrolled in Medicare?

Yes. Lisa South 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.

Which organization bills Medicare for Lisa South's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa South reassigns Medicare benefits to Baylor College Of Medicine (Houston, TX). The 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 South's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa South accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and WellPoint list Lisa South 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 South was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.