MS. LISA WILKERSON
NPI 1366579047
Nurse Anesthetist, Certified Registered in Pascagoula, MS

Active since February 28, 2007Accepts Medicare Assignment
2809 DENNY AVE, PASCAGOULA, MS 39581(228) 809-5000 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Lisa Wilkerson NPPES

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

MS. LISA WILKERSON (NPI 1366579047) is an individual nurse anesthetist, certified registered in Pascagoula, Mississippi, licensed in Mississippi (R815668) and active in the NPI registry since February 2007. She is affiliated with Northern Light Eastern Maine Medical Center, maintains a secondary practice location in Lebanon, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1366579047
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. LISA WILKERSON
Location Address2809 DENNY AVEPascagoula, MS 39581-5301
Mailing Address2101 Highway 90Gautier, MS 39553-5340
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 28, 2007
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1366579047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in MS · R815668 Licensed in NH · 117135-23
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2809 DENNY AVE, Pascagoula, MS 39581

Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000 · Fax (603) 640-1228

Other Identifiers 3

MedicaidLW00114294MS
Other430067914Railroad Medicare
Other640942692Blue Cross Of Ms

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 Wilkerson 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 ID2860689890
PECOS Enrollment IDI20101203000080, I20250507000188

Hospital Affiliations CMS Care Compare

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39581 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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 20

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

Radiology (Diagnostic Radiology)
2809 DENNY AVE
PASCAGOULA, MS 39581
Radiology (Diagnostic Radiology)
2809 DENNY AVE
PASCAGOULA, MS 39581
Radiology (Diagnostic Radiology)
2809 DENNY AVE
PASCAGOULA, MS 39581
Anesthesiology
2809 DENNY AVE
PASCAGOULA, MS 39581
Anesthesiology
2809 DENNY AVE
PASCAGOULA, MS 39581
Anesthesiology
2809 DENNY AVE
PASCAGOULA, MS 39581
Emergency Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581
Emergency Medicine
2809 DENNY AVE
PASCAGOULA, MS 39581

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 Wilkerson's NPI number?

The NPI number for Lisa Wilkerson is 1366579047. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Lisa Wilkerson located?

Lisa Wilkerson practices at 2809 Denny Ave, Pascagoula, MS 39581. The listed phone number is (228) 809-5000.

What is Lisa Wilkerson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Lisa Wilkerson enrolled in Medicare?

Yes. Lisa Wilkerson 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 Wilkerson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lisa Wilkerson 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 Wilkerson affiliated with any hospitals?

According to CMS data, Lisa Wilkerson is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Wilkerson was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.