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MS. LISA MARIE HANNON MSN APRN WHNP-BC
NPI 1407652431
Nurse Practitioner - Women's Health in Richland, MI

Active since February 20, 2025PECOS EnrolledAccepts Medicare Assignment
5892 HIDDEN OAK AVE, RICHLAND, MI 49083(210) 710-1926 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Lisa Marie Hannon Msn Aprn Whnp-bc NPPES

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

MS. LISA MARIE HANNON MSN APRN WHNP-BC (NPI 1407652431) is an individual women's health provider in Richland, Michigan, licensed in Michigan (4704398724) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2024).

NPPES Registry Identity

NPI1407652431
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. LISA MARIE HANNONCredential: MSN APRN WHNP-BC
Location Address5892 HIDDEN OAK AVERichland, MI 49083-8214
Mailing Address5892 Hidden Oak AveRichland, MI 49083-8214 · (210) 710-1926
Phone(210) 710-1926
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2024
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1407652431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MI · 4704398724
5892 HIDDEN OAK AVE, Richland, MI 49083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Ms. Lisa Marie Hannon Msn Aprn Whnp-bc 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 ID7315415288
PECOS Enrollment IDI20260511002824
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 Marie Hannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Gynecology Specialist Of Marshall PLLC
30 mi
Obstetrics & Gynecology
139 WEST MANSION STREET
Marshall, MI 49068
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1376961672 (269) 248-6090

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 49083 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Marie Hannon's NPI number?

The NPI number for Lisa Marie Hannon is 1407652431. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Lisa Marie Hannon located?

Lisa Marie Hannon practices at 5892 Hidden Oak Ave, Richland, MI 49083. The listed phone number is (210) 710-1926.

What is Lisa Marie Hannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lisa Marie Hannon enrolled in Medicare?

Yes. Lisa Marie Hannon 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 Marie Hannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marie Hannon reassigns Medicare benefits to Advanced Gynecology Specialist Of Marshall PLLC (Marshall, MI). 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 Marie Hannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Marie Hannon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lisa Marie Hannon 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 Marie Hannon was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.