1. Home
  2. Directory
  3. Florida
  4. Lake Mary
  5. Physician Assistant
  6. NPI Profile

MS. LISA MARIE SHALLENBERGER MMS, PA-C
NPI 1366969578
Physician Assistant in Lake Mary, FL

Active since August 28, 2017PECOS Enrolled
4106 W LAKE MARY BLVD STE 205, LAKE MARY, FL 32746(407) 851-5121 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2024, Feb 10, 2023, Jul 2, 2021 and 1 more (4 updates tracked since 2017).

About Ms. Lisa Marie Shallenberger Mms, Pa-c NPPES

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

MS. LISA MARIE SHALLENBERGER MMS, PA-C (NPI 1366969578) is an individual physician assistant in Lake Mary, Florida, licensed in Florida (PA9110578) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366969578
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. LISA MARIE SHALLENBERGERCredential: MMS, PA-C
Location Address4106 W LAKE MARY BLVD STE 205Lake Mary, FL 32746-3344
Mailing Address859 Silverado CtLake Mary, FL 32746-4966 · (786) 301-2626
Phone(407) 851-5121
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1366969578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9110578
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4106 W LAKE MARY BLVD STE 205, Lake Mary, FL 32746
Open in Google Maps ↗

Other Identifiers 1

OtherPA9110578FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Marie Shallenberger Mms, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931554094
PECOS Enrollment IDI20231009003534
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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
31 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32746 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Shallenberger's NPI number?

The NPI number for Lisa Shallenberger is 1366969578. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Lisa Shallenberger located?

Lisa Shallenberger practices at 4106 W Lake Mary Blvd Ste 205, Lake Mary, FL 32746. The listed phone number is (407) 851-5121.

What is Lisa Shallenberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Shallenberger enrolled in Medicare?

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

What insurance does Lisa Shallenberger accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and UnitedHealthcare list Lisa Shallenberger 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 Shallenberger was last updated on July 3, 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.