LISA SANKO
NPI 1356891790
Nurse Practitioner - Family in Pittsburgh, PA

Active since October 10, 2016PECOS Enrolled
5200 CENTRE AVE STE 405, PITTSBURGH, PA 15232(412) 623-2700(412) 623-1235 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2024, May 24, 2021, Oct 12, 2016 (3 updates tracked since 2016).

About Lisa Sanko NPPES

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

LISA SANKO (NPI 1356891790) is an individual family provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (SP016596) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356891790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA SANKO
Location Address5200 CENTRE AVE STE 405Pittsburgh, PA 15232-1311
Mailing Address5200 Centre Ave Ste 405Pittsburgh, PA 15232-1311 · (412) 623-2700 · Fax (412) 623-1235
Fax(412) 623-1235
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 10, 2016
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1356891790 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 PA · SP016596
5200 CENTRE AVE STE 405, Pittsburgh, PA 15232

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Sanko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971883919
PECOS Enrollment IDI20161208000107, I20241002001069, I20250116002086, I20250530003319, I20250820001475
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

16

Medicare enrollment records show Lisa Sanko reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5215 CENTRE AVE, FIRST FLOOR
Pittsburgh, PA 15232
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
1626 POTOMAC AVE
Pittsburgh, PA 15216
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 307 clinicians in this Medicare group
Family Medicine
1390 N POPLAR FORK RD
Hurricane, WV 25526
  • Reassigned Medicare billing, West Virginia enrollment
  • 27 clinicians in this Medicare group
Family Medicine
30 WEST AVE
Wayne, PA 19087
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 43 clinicians in this Medicare group
Internal Medicine
290 RED SCHOOL LN
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Post Acute Specialists New Jersey PC
  • 59 clinicians in this Medicare group
Obstetrics & Gynecology
735 FITZWATERTOWN ROAD, SUITE 4
Willow Grove, PA 19090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hr Physician Services
  • 360 clinicians in this Medicare group
Family Medicine
1481 MCDONALD AVE
Brooklyn, NY 11230
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group
Family Medicine
1 EMILY WAY
West Hartford, CT 06107
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
Family Medicine
105 CHESTER RD
Springfield, VT 05156
  • Reassigned Medicare billing, Vermont enrollment
  • 18 clinicians in this Medicare group
Internal Medicine
2255 MONARCH DR
Naperville, IL 60563
  • Reassigned Medicare billing, Connecticut, Florida, Illinois, New Hampshire, New York, Pennsylvania and West Virginia enrollments
  • 100 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.

Areas of Expertise CMS Part B claims 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
193 services186 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
191 services139 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services98 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
33 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$35.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Geriatric Medicine)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232
Internal Medicine (Geriatric Medicine)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232
Social Worker (Clinical)
5200 CENTRE AVE STE 405
PITTSBURGH, PA 15232

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 Sanko's NPI number?

The NPI number for Lisa Sanko is 1356891790. It was assigned to this individual provider in the NPPES registry on October 10, 2016.

Where is Lisa Sanko located?

Lisa Sanko practices at 5200 Centre Ave Ste 405, Pittsburgh, PA 15232. The listed phone number is (412) 623-2700.

What is Lisa Sanko's specialty?

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

Is Lisa Sanko enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Sanko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Sanko reassigns Medicare benefits to 16 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), St. Clair Medical Services, Inc. (Pittsburgh, PA), Visavis Health Care Medical Group Of Wv PLLC (Hurricane, WV), Visavis Health Care Medical Group Of Pennsylvania PLLC (Wayne, PA), Post Acute Specialists New Jersey, P.C. (Phillipsburg, NJ) and 11 more organizations, listed in the Medicare section above. 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 Lisa Sanko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Sanko accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and WellSense Health Plan list Lisa Sanko 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.

Is Lisa Sanko affiliated with any hospitals?

According to CMS data, Lisa Sanko is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Lisa Sanko was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.