LISA MARIE ZERDELIAN NP
NPI 1407162464
Nurse Practitioner - Pediatrics in Woonsocket, RI

Q: What is Lisa Zerdelian's NPI number?

The NPI number for Lisa Zerdelian is 1407162464. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Q: What is Lisa Zerdelian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Zerdelian was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 August 27, 2010PECOS Enrolled

450 CLINTON ST, WOONSOCKET, RI 02895(401) 767-4100(401) 235-6899 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Marie Zerdelian Np NPPES

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

LISA MARIE ZERDELIAN NP (NPI 1407162464) is an individual pediatrics provider in Woonsocket, Rhode Island, licensed in Rhode Island (APRN01301) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407162464

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLISA MARIE ZERDELIANCredential: NP

Location Address450 CLINTON STWoonsocket, RI 02895-3207

Mailing Address450 Clinton StWoonsocket, RI 02895-3207 · (401) 767-4100 · Fax (401) 235-6899

Phone(401) 767-4100

Fax(401) 235-6899

Sole ProprietorNo

Enumeration DateAugust 27, 2010

Last NPPES UpdateAugust 29, 2025

NPPES CertifiedAugust 29, 2025

✔ NPI 1407162464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in RI · APRN01301

Also ListedRegistered Nurse · SchoolTaxonomy 163WS0200X · License NPP37576 (RI)

450 CLINTON ST, Woonsocket, RI 02895

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Secondary Practice Locations 3

Location 1360 Kingstown Rd Unit 101Narragansett, RI 02882-3258 · Phone (401) 789-6492

Location 21 River StWakefield, RI 02879-3214 · Phone (401) 783-0523

Location 3186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 615-2804

Other Identifiers 1

MedicaidLZ83262RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Zerdelian Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Zerdelian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thundermist Health Center

Same address

Federally Qualified Health Center (FQHC)

450 CLINTON ST
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
288 clinicians in this Medicare group

NPI 1588691620 (401) 767-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

LAURA ANN WOODS LICSW

Social Worker (Clinical)