BRENDA LIS
NPI 1467908244
Nurse Practitioner - Psychiatric/Mental Health in Buffalo, NY

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment
69 DELAWARE AVE, SUITE 1200, BUFFALO, NY 14202(716) 852-5900 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Aug 31, 2016 (2 updates tracked since 2016).

About Brenda Lis NPPES

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

BRENDA LIS (NPI 1467908244) is an individual psychiatric/mental health provider in Buffalo, New York, licensed in New York (403392) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467908244
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBRENDA LIS
Location Address69 DELAWARE AVE, SUITE 1200Buffalo, NY 14202
Mailing Address4373 Clinton StreetWest Seneca, NY 14224
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 31, 2016
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1467908244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403392
Also ListedRegistered Nurse · Occupational HealthTaxonomy 163WX0106X · License 412294-1 (NY)
69 DELAWARE AVE, Buffalo, NY 14202

Accepted 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

Brenda Lis 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 ID2567871593
PECOS Enrollment IDI20210504001664
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 14202 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 17

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

Licensed Practical Nurse
69 DELAWARE AVE
BUFFALO, NY 14202
Community Health Worker
69 DELAWARE AVE, SUITE 1200
BUFFALO, NY 14202
Registered Nurse (Community Health)
69 DELAWARE AVE
BUFFALO, NY 14202
Registered Nurse
69 DELAWARE AVE
BUFFALO, NY 14202
Registered Nurse
69 DELAWARE AVE, SUITE 1200
BUFFALO, NY 14202
Registered Nurse
69 DELAWARE AVE, SUITE 1200
BUFFALO, NY 14202
Community Health Worker
69 DELAWARE AVE
BUFFALO, NY 14202
Licensed Vocational Nurse
69 DELAWARE AVE, 1200
BUFFALO, NY 14202

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 Brenda Lis's NPI number?

The NPI number for Brenda Lis is 1467908244. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Brenda Lis located?

Brenda Lis practices at 69 Delaware Ave Suite 1200, Buffalo, NY 14202. The listed phone number is (716) 852-5900.

What is Brenda Lis's specialty?

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

Is Brenda Lis enrolled in Medicare?

Yes. Brenda Lis 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.

What insurance does Brenda Lis accept?

Health plans from Providence Health Plan list Brenda Lis 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 Brenda Lis was last updated on July 27, 2023. 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.