MS. LISA ANNE ONDERSMA A-GNP
NPI 1457801250
Nurse Practitioner - Adult Health in Holland, MI

Q: What is Lisa Ondersma's NPI number?

The NPI number for Lisa Ondersma is 1457801250. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Q: What is Lisa Ondersma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Ondersma was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 October 05, 2016PECOS EnrolledAccepts Medicare Assignment

382 N 120TH AVE, HOLLAND, MI 49424(616) 396-6516(616) 396-2513 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Lisa Anne Ondersma A-gnp NPPES

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

MS. LISA ANNE ONDERSMA A-GNP (NPI 1457801250) is an individual adult health provider in Holland, Michigan, licensed in Michigan (4704288316) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457801250

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. LISA ANNE ONDERSMACredential: A-GNP

Location Address382 N 120TH AVEHolland, MI 49424-2169

Mailing Address382 120th AveHolland, MI 49424-2169 · (616) 396-6516 · Fax (616) 396-2513

Phone(616) 396-6516

Fax(616) 396-2513

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 5, 2016

Last NPPES UpdateOctober 12, 2022

NPPES CertifiedOctober 12, 2022

✔ NPI 1457801250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704288316

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4704288316 (MI)

382 N 120TH AVE, Holland, MI 49424

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

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

Ms. Lisa Anne Ondersma A-gnp 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 ID941588412

PECOS Enrollment IDI20161103001705

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.

Areas of Expertise CMS Part B claims 4

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.

64 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services44 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holland Community Hospital

Acute Care Hospitals · Holland, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230072

Location602 Michigan AveHolland, MI 49423 · Ottawa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

JON W KROEZE MD

Family Medicine