LISA MAK CRNP
NPI 1396396560
Nurse Practitioner - Adult Health in Philadelphia, PA
About Lisa Mak Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MAK CRNP (NPI 1396396560) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020797) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Mak Crnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Mak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19140
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Mak's NPI number?
The NPI number for Lisa Mak is 1396396560. It was assigned to this individual provider in the NPPES registry on September 27, 2019.
Where is Lisa Mak located?
Lisa Mak practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-4000.
What is Lisa Mak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Lisa Mak enrolled in Medicare?
Yes. Lisa Mak 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.
Which organization bills Medicare for Lisa Mak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mak reassigns Medicare benefits to Temple Faculty Practice Plan, Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Mak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Mak affiliated with any hospitals?
According to CMS data, Lisa Mak is affiliated with Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Mak was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lisa Mak, CRNP · NPI 1396396560
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 27, 2019.
## Identity
- **NPI:** 1396396560 (Entity type: Individual)
- **Enumerated:** September 27, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP020797 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-4000 · **Fax:** (215) 707-5066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Temple Faculty Practice Plan, Inc (NPI 1003398967, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396396560) · Data from the CMS NPPES public registry.