LISSETTE LIBBY NP
NPI 1356910244
Nurse Practitioner - Family in Hollywood, MD

Q: What is Lissette Libby's NPI number?

The NPI number for Lissette Libby is 1356910244. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Q: What is Lissette Libby's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lissette Libby was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2021PECOS EnrolledAccepts Medicare Assignment

24035 THREE NOTCH RD, HOLLYWOOD, MD 20636(301) 373-7900(301) 373-6900 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2024, Jul 14, 2022, Jun 23, 2021 (3 updates tracked since 2021).

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About Lissette Libby Np NPPES

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

LISSETTE LIBBY NP (NPI 1356910244) is an individual family provider in Hollywood, Maryland, licensed in Virginia (0024181634) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356910244

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISSETTE LIBBYCredential: NP

Location Address24035 THREE NOTCH RDHollywood, MD 20636-4871

Mailing Address24035 Three Notch RdHollywood, MD 20636-4871 · (301) 373-7900 · Fax (301) 373-6900

Phone(301) 373-7900

Fax(301) 373-6900

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJune 23, 2021

Last NPPES UpdateOctober 10, 20243 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1356910244 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 VA · 0024181634

24035 THREE NOTCH RD, Hollywood, MD 20636

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Secondary Practice Locations 2

Location 1160 Kingsley Ln Ste 103Norfolk, VA 23505-4600 · Phone (757) 524-5277

Location 222590 Shady CtCalifornia, MD 20619-5009 · Phone (301) 373-7900 · Fax (301) 373-6900

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

Lissette Libby 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 ID547499535

PECOS Enrollment IDI20241023003865

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.

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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20636 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier16 claims34 services$1.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims14 services$97.03 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

6 suppliers45 claims2,610 services$6.20 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

7 suppliers27 claims8,035 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers34 claims2,220 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

4 suppliers21 claims110,250 services$0.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ANNA PAUL THOTTAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)