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LISANDRA LYSAITH NP
NPI 1356082804
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
13121 BROOKLANE DR, HAGERSTOWN, MD 21742(301) 733-0330 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2025, Aug 23, 2023, Dec 7, 2022 and 1 more (4 updates tracked since 2022).

About Lisandra Lysaith Np NPPES

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

LISANDRA LYSAITH NP (NPI 1356082804) is an individual psychiatric/mental health provider in Hagerstown, Maryland, licensed in Maryland (R253070) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356082804
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISANDRA LYSAITHCredential: NP
Location Address13121 BROOKLANE DRHagerstown, MD 21742-1514
Mailing Address13121 Brooklane DrHagerstown, MD 21742-1514 · (301) 733-0330
Phone(301) 733-0330
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2022
Last NPPES UpdateJune 24, 20254 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1356082804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MD · R253070✔ Licensed in VA · 0024183612
13121 BROOKLANE DR, Hagerstown, MD 21742
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.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

Lisandra Lysaith 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 ID3476900838
PECOS Enrollment IDI20231107003852
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

5

Medicare enrollment records show Lisandra Lysaith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brook Lane Behavioral Services, Inc.
0.1 mi
Psychiatry
13215 BROOK LANE, OUTPATIENT SERVICES
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 47 clinicians in this Medicare group
NPI 1538647748 (301) 733-0330
Safe Harbor Behavioral Care, LLC
70 mi
Clinical
2227 OLD EMMORTON RD, STE 119
Bel Air, MD 21015
  • Reassigned Medicare billing, Maryland enrollment
  • 131 clinicians in this Medicare group
NPI 1316487879 (410) 893-4600
Thrive Counseling LLC
177 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, District of Columbia enrollment
  • 143 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483
Grow Healthcare Group PA
970 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, New Mexico and Texas enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Renewed Hope Mental Wellness
1,154 mi
Psychiatric/Mental Health
130 N PRESTON RD STE 227
Prosper, TX 75078
  • Reassigned Medicare billing, Texas enrollment
NPI 1760332860 (469) 368-9616

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

VICTORIA BURGAMY LMSW
Social Worker
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0331
DR. GHADEER IBRAHIM CRNP
Nurse Practitioner (Family)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
DR. CHRIS GAUTHIER DO
Psychiatry & Neurology (Psychiatry)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MS. JULIE RENEE BANGS RN
Registered Nurse (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
ANTHONY TERRELONGE
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
MAURA DUBOYCE LGPC
Counselor (Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (800) 342-2992
MS. ALLYSON SUZANNE LAWSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330
LAURA ROCIO FERNANDEZ GARZA LCPC
Counselor (Professional)
13121 BROOKLANE DR
HAGERSTOWN, MD 21742
Washington County (301) 733-0330

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 Lisandra Lysaith's NPI number?

The NPI number for Lisandra Lysaith is 1356082804. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Lisandra Lysaith located?

Lisandra Lysaith practices at 13121 Brooklane Dr, Hagerstown, MD 21742. The listed phone number is (301) 733-0330.

What is Lisandra Lysaith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisandra Lysaith enrolled in Medicare?

Yes. Lisandra Lysaith 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 organizations bill Medicare for Lisandra Lysaith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisandra Lysaith reassigns Medicare benefits to 5 organizations: Brook Lane Behavioral Services, Inc. (Hagerstown, MD), Safe Harbor Behavioral Care, LLC (Bel Air, MD), Thrive Counseling LLC (Lynchburg, VA), Grow Healthcare Group PA (Miami, FL) and Renewed Hope Mental Wellness (Prosper, TX). 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 Lisandra Lysaith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisandra Lysaith accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Lisandra Lysaith 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 Lisandra Lysaith was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.