LISA MARIE CHURCH NP
NPI 1356089148
Nurse Practitioner - Family in Lake Charles, LA

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
1890 W GAUTHIER RD STE 135, LAKE CHARLES, LA 70605(337) 480-5510(337) 480-5511 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, May 23, 2022 (2 updates tracked since 2022).

About Lisa Marie Church Np NPPES

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

LISA MARIE CHURCH NP (NPI 1356089148) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (223797) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356089148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARIE CHURCHCredential: NP
Location Address1890 W GAUTHIER RD STE 135Lake Charles, LA 70605-7179
Mailing Address604 N Acadia Rd Ste 101Thibodaux, LA 70301-4897 · (985) 446-5079 · Fax (985) 447-2497
Fax(337) 480-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 23, 2022
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1356089148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 223797
1890 W GAUTHIER RD STE 135, Lake Charles, LA 70605

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

Lisa Marie Church 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 ID6204202419
PECOS Enrollment IDI20221013000148
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 70605 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 7

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

Obstetrics & Gynecology
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 135
LAKE CHARLES, LA 70605

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 Church's NPI number?

The NPI number for Lisa Church is 1356089148. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Lisa Church located?

Lisa Church practices at 1890 W Gauthier Rd Ste 135, Lake Charles, LA 70605. The listed phone number is (337) 480-5510.

What is Lisa Church's specialty?

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

Is Lisa Church enrolled in Medicare?

Yes. Lisa Church 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.

What insurance does Lisa Church accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Lisa Church 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 Church was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.