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

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: November 08, 2026.

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

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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Roussin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ria Health PC
2,100 mi
Addiction Medicine
1390 MARKET ST STE 200
San Francisco, CA 94102
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1326539404 (800) 504-5360

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 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.

Which organization bills Medicare for Lisa Roussin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Roussin reassigns Medicare benefits to Ria Health PC (San Francisco, CA). 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 Roussin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Roussin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Premera Blue Cross Blue Shield of Alaska and UnitedHealthcare and 1 other insurer list Lisa Roussin 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 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 7 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.