MS. LISA M FOX APRN
NPI 1447577937
Nurse Practitioner - Adult Health in New Haven, CT

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
20 YORK ST, CB-2041, NEW HAVEN, CT 06510(203) 688-4748(203) 688-4740 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Lisa M Fox Aprn NPPES

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

MS. LISA M FOX APRN (NPI 1447577937) is an individual adult health provider in New Haven, Connecticut, licensed in Connecticut (4364) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeport, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447577937
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LISA M FOXCredential: APRN
Location Address20 YORK ST, CB-2041New Haven, CT 06510-3220
Mailing Address20 York St, Cb-2041New Haven, CT 06510-3220 · (203) 688-4748 · Fax (203) 688-4740
Fax(203) 688-4740
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 23, 2010
Last NPPES UpdateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
✔ NPI 1447577937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 4364
20 YORK ST, CB-2041, New Haven, CT 06510

Secondary Practice Location 1

Location 12800 Main StBridgeport, CT 06606-4201 · Phone (475) 210-6512

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa M Fox Aprn 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 ID3779755194
PECOS Enrollment IDI20111007000139
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 Reassignments

3

Medicare enrollment records show Lisa Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
20 YORK ST, CB-2041, YALE-NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Internal Medicine (Pulmonary Disease)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041, CB-2041
NEW HAVEN, CT 06510
Nurse Practitioner
20 YORK ST, CB-2041
NEW HAVEN, CT 06510
Physician Assistant (Medical)
20 YORK ST, CB-2041
NEW HAVEN, CT 06510

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 Fox's NPI number?

The NPI number for Lisa Fox is 1447577937. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Lisa Fox located?

Lisa Fox practices at 20 York St, Cb-2041, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Lisa Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Fox enrolled in Medicare?

Yes. Lisa Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fox reassigns Medicare benefits to 3 organizations: Mill Hill Medical Consultants Inc (New Haven, CT), Yale University (New Haven, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each 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 Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Fox accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Fox 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 Fox was last updated on March 16, 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.