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

Q: 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.

Q: What is Lisa Grubb's specialty?

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

Q: 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 6 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 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: August 16, 2026.

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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 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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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