MISS LISA GILMORE CPNP-AC
NPI 1285754259
Nurse Practitioner - Pediatrics, Critical Care in New York, NY

Active since March 30, 2007PECOS Enrolled
3959 BROADWAY, NEW YORK, NY 10032(212) 305-8458 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Lisa Gilmore Cpnp-ac NPPES

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

MISS LISA GILMORE CPNP-AC (NPI 1285754259) is an individual pediatrics, critical care provider in New York, New York, licensed in New York (F380564) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285754259
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameMISS LISA GILMORECredential: CPNP-AC
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address1785 215th St, Apt 17aBayside, NY 11360-1727 · (718) 428-4182
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285754259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License Licensed in NY · F380564
3959 BROADWAY, New York, NY 10032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Lisa Gilmore Cpnp-ac 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 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032

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 Gilmore's NPI number?

The NPI number for Lisa Gilmore is 1285754259. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Lisa Gilmore located?

Lisa Gilmore practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-8458.

What is Lisa Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Lisa Gilmore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Gilmore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.