LISA COSSABOON
NPI 1437892981
Nurse Practitioner - Family in Sewell, NJ

Active since April 13, 2022PECOS EnrolledAccepts Medicare Assignment
372 EGG HARBOR RD STE 4A, SEWELL, NJ 08080(856) 218-5900(856) 497-5207 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Cossaboon NPPES

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

LISA COSSABOON (NPI 1437892981) is an individual family provider in Sewell, New Jersey, licensed in New Jersey (26NJ01294300) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1437892981
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA COSSABOON
Location Address372 EGG HARBOR RD STE 4ASewell, NJ 08080-1988
Mailing Address134 Bridgeton Pike Ste CMullica Hill, NJ 08062-2616 · (856) 507-2783
Fax(856) 497-5207
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2022
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1437892981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ01294300
372 EGG HARBOR RD STE 4A, Sewell, NJ 08080

Secondary Practice Locations 2

Location 1201 Laurel Heights DrBridgeton, NJ 08302-3635 · Phone (856) 455-4800
Location 2660 Woodbury Glassboro Rd Ste 26Sewell, NJ 08080-3738 · Phone (856) 415-6188 · Fax (856) 497-5150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Cossaboon 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 ID4082082045
PECOS Enrollment IDI20221122002320
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 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

The NPI number assigned to this healthcare provider is 1437892981, enumerated as an "individual" on April 13, 2022.

The provider is located at 372 EGG HARBOR RD STE 4A SEWELL, NJ 08080 and the phone number is (856) 218-5900.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.