LISA ROUSSIN MSN, APRN, PMHNP-BC
NPI 1447068853
Nurse Practitioner - Psychiatric/Mental Health in Fort Walton Beach, FL

Q: What is Lisa Roussin's NPI number?

The NPI number for Lisa Roussin is 1447068853. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Q: What is Lisa Roussin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Roussin was last updated on March 25, 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 19, 2024PECOS Enrolled

8 CINDERELLA LN NW, FORT WALTON BEACH, FL 32547(850) 855-2555 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 25, 2026, Dec 19, 2024 (2 updates tracked since 2024).

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About Lisa Roussin Msn, Aprn, Pmhnp-bc NPPES

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

LISA ROUSSIN MSN, APRN, PMHNP-BC (NPI 1447068853) is an individual psychiatric/mental health provider in Fort Walton Beach, Florida, licensed in Florida (APRN11046341) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1447068853

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA ROUSSINCredential: MSN, APRN, PMHNP-BC

Location Address8 CINDERELLA LN NWFort Walton Beach, FL 32547-1623

Mailing Address8 Cinderella Ln NwFort Walton Beach, FL 32547-1623 · (850) 855-2555

Phone(850) 855-2555

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 19, 2024

Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1447068853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11046341

8 CINDERELLA LN NW, Fort Walton Beach, FL 32547

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Roussin Msn, Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890266043

PECOS Enrollment IDI20260609000220

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 32547 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 Roussin's NPI number?

The NPI number for Lisa Roussin is 1447068853. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Lisa Roussin located?

Lisa Roussin practices at 8 Cinderella Ln NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 855-2555.

What is Lisa Roussin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Roussin enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Roussin was last updated on March 25, 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.