MRS. LISA M DOHERTY APRN, BC
NPI 1497700652
Nurse Practitioner - Adult Health in Boston, MA

Active since May 24, 2006PECOS Enrolled
450 BROOKLINE AVE, DA2116, BOSTON, MA 02215(617) 632-5925(617) 632-4773 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lisa M Doherty Aprn, Bc NPPES

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

MRS. LISA M DOHERTY APRN, BC (NPI 1497700652) is an individual adult health provider in Boston, Massachusetts, licensed in Massachusetts (229154) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497700652
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. LISA M DOHERTYCredential: APRN, BC
Location Address450 BROOKLINE AVE, DA2116Boston, MA 02215-5418
Mailing Address450 Brookline Ave, Da2116Boston, MA 02215-5418 · (617) 632-5925 · Fax (617) 632-4773
Fax(617) 632-4773
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateAugust 28, 2013
NPI 1497700652 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 MA · 229154
450 BROOKLINE AVE, Boston, MA 02215

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lisa M Doherty Aprn, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Physician Assistant
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215
Pediatrics (Pediatric Hematology-Oncology)
450 BROOKLINE AVE
BOSTON, MA 02215
Counselor (Mental Health)
450 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine (Hematology & Oncology)
450 BROOKLINE AVE, DANA 2058
BOSTON, MA 02215
Nurse Practitioner
450 BROOKLINE AVE
BOSTON, MA 02215
Genetic Counselor, MS
450 BROOKLINE AVE
BOSTON, MA 02215

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 Doherty's NPI number?

The NPI number for Lisa Doherty is 1497700652. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Lisa Doherty located?

Lisa Doherty practices at 450 Brookline Ave Da2116, Boston, MA 02215. The listed phone number is (617) 632-5925.

What is Lisa Doherty's specialty?

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

Is Lisa Doherty enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Doherty was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.