MS. LISA ANN DEISCH PA-C
NPI 1316653892
Physician Assistant in Fayetteville, NC

Active since January 27, 2023PECOS EnrolledAccepts Medicare Assignment
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304(910) 504-3506 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2025, Apr 11, 2025, Aug 8, 2024 and 1 more (4 updates tracked since 2023).

About Ms. Lisa Ann Deisch Pa-c NPPES

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

MS. LISA ANN DEISCH PA-C (NPI 1316653892) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-13059) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316653892
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LISA ANN DEISCHCredential: PA-C
Location Address1340 WALTER REED RD STE 202Fayetteville, NC 28304-4451
Mailing Address1725 Real Quiet PlHope Mills, NC 28348-8097 · (910) 284-2118
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 27, 2023
Last NPPES UpdateJuly 3, 20254 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
NPI 1316653892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-13059
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.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1340 WALTER REED RD STE 202, Fayetteville, NC 28304

Secondary Practice Locations 2

Location 11219 Walter Reed RdFayetteville, NC 28304-4437 · Phone (910) 615-3350
Location 21638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-3350

Accepted Insurance

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

Ms. Lisa Ann Deisch Pa-c 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 ID1052776044
PECOS Enrollment IDI20230426001783
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 2

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St Po Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Psychiatry & Neurology (Psychiatry)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Physician Assistant
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Psychiatry & Neurology (Psychiatry)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316653892, enumerated as an "individual" on January 27, 2023.

The provider is located at 1340 WALTER REED RD STE 202 FAYETTEVILLE, NC 28304 and the phone number is (910) 504-3506.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Lisa Deisch is affiliated with: CAPE FEAR VALLEY MEDICAL CENTER and SOUTHEASTERN REGIONAL MEDICAL CENTER.