LISA A WHITESIDE PA-C
NPI 1376673046
Physician Assistant - Medical in Mooresville, IN

Q: What is Lisa Whiteside's NPI number?

The NPI number for Lisa Whiteside is 1376673046. It was assigned to this individual provider in the NPPES registry on March 6, 2007. The provider is also known as Lisa A Hertel Pa-C.

Q: What is Lisa Whiteside's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Whiteside was last updated on October 4, 2023. 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.

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment

1205 HADLEY RD STE 130, MOORESVILLE, IN 46158(317) 831-9340(317) 834-5768 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Aug 29, 2022, Mar 16, 2021 (3 updates tracked since 2021).

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About Lisa A Whiteside Pa-c NPPES

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

LISA A WHITESIDE PA-C (NPI 1376673046) is an individual medical provider in Mooresville, Indiana, licensed in Indiana (10000872A) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Mooresville, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376673046

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA A WHITESIDECredential: PA-C

Location Address1205 HADLEY RD STE 130Mooresville, IN 46158-1934

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(317) 831-9340

Fax(317) 834-5768

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 6, 2007

Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration

NPPES CertifiedOctober 4, 2023

✔ NPI 1376673046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IN · 10000872A

1205 HADLEY RD STE 130, Mooresville, IN 46158

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Other Names 1

Former Name (1)Lisa A Hertel Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 A Whiteside Pa-c 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 ID9032377635

PECOS Enrollment IDI20120229000338

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 4

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 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.

127 services84 patients

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.

55 services50 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

32 services24 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.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Mooresville

Acute Care Hospitals · Mooresville, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150057

Location1201 Hadley RdMooresville, IN 46158 · Morgan County

Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150162

Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers13 claims33 services$6.67 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$21.76 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 5

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

JEANNE VRABEL PA

Physician Assistant