1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Nurse Practitioner
  6. NPI Profile

LISA MYERS GRUBB
NPI 1427913342
Nurse Practitioner - Family in Baltimore, MD

Active since December 23, 2025PECOS Enrolled
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0526(410) 550-0100 Get Directions Write a Review

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

About Lisa Myers Grubb NPPES

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

LISA MYERS GRUBB (NPI 1427913342) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R109114) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elkridge, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427913342
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MYERS GRUBB
Location Address4940 EASTERN AVEBaltimore, MD 21224-2780
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 550-0526
Fax(410) 550-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 23, 2025
Last NPPES UpdateFebruary 20, 2026
NPPES CertifiedFebruary 20, 2026
✔ NPI 1427913342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R109114
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License R109114 (MD)
4940 EASTERN AVE, Baltimore, MD 21224
Open in Google Maps ↗

Secondary Practice Location 1

Location 16064 Toomey LnElkridge, MD 21075-4500 · Phone (443) 832-8247 ext. 35224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Myers Grubb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375018013
PECOS Enrollment IDI20260409002621
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 Grubb reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
Same address
Plastic Surgery
4940 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1275515546 (410) 550-8400

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 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

DR. SUSRUTHA KOTWAL MD
Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-5018
DR. SAMANTHA A WOLFE MD
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-2370
MARK MILEY PA-C
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-9227
REID C. WILKINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
DEREK MASON MD, MPH
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100
RUCHITA SUDHIR PENDSE MD
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-5568
VIVIANA KATHERINE PEARSON NEONATAL NURSE PRACT
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (443) 297-7701
BRUCE ROBERT GIBSON M.D.
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224
Baltimore City (410) 550-0100

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 Grubb's NPI number?

The NPI number for Lisa Grubb is 1427913342. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Lisa Grubb located?

Lisa Grubb practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0526.

What is Lisa Grubb's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Grubb enrolled in Medicare?

Yes. Lisa Grubb is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Grubb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Grubb reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). 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 Grubb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Grubb was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.