LISA JILL VANDIEMEN FNP
NPI 1396041885
Nurse Practitioner - Psychiatric/Mental Health in Longview, TX

Q: What is Lisa Vandiemen's NPI number?

The NPI number for Lisa Vandiemen is 1396041885. It was assigned to this individual provider in the NPPES registry on February 1, 2011. The provider is also known as Lisa Jill Van Diemen.

Q: What is Lisa Vandiemen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Vandiemen was last updated on May 2, 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.

Active since February 01, 2011PECOS EnrolledAccepts Medicare Assignment

615 CLINIC DR, LONGVIEW, TX 75605(903) 571-4656(903) 881-1994 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Jill Vandiemen Fnp NPPES

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

LISA JILL VANDIEMEN FNP (NPI 1396041885) is an individual psychiatric/mental health provider in Longview, Texas, licensed in Texas (AP119904) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1396041885

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA JILL VANDIEMENCredential: FNP

Location Address615 CLINIC DRLongview, TX 75605-5172

Mailing Address12197 Cross Fence TrlTyler, TX 75706-4241 · (903) 571-4656 · Fax (903) 881-1994

Phone(903) 571-4656

Fax(903) 881-1994

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateFebruary 1, 2011

Last NPPES UpdateMay 2, 2024

NPPES CertifiedMay 2, 2024

✔ NPI 1396041885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · AP119904

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 684452 (TX)

615 CLINIC DR, Longview, TX 75605

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Other Names 1

Professional Name (2)Lisa Jill Van Diemen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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 Jill Vandiemen Fnp 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 ID4486825288

PECOS Enrollment IDI20110928000395

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims15 services$24.25 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.

7872 INC.

Psychiatry & Neurology (Geriatric Psychiatry)