MRS. LISA GRAHAM BLESSE FNP
NPI 1508962101
Nurse Practitioner - Family in Ellisville, MS

Active since September 15, 2006PECOS Enrolled
1101 HIGHWAY 11 S, ELLISVILLE, MS 39437(601) 477-5795(601) 477-5895 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Graham Blesse Fnp NPPES

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

MRS. LISA GRAHAM BLESSE FNP (NPI 1508962101) is an individual family provider in Ellisville, Mississippi, licensed in Mississippi (R842124) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508962101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA GRAHAM BLESSECredential: FNP
Location Address1101 HIGHWAY 11 SEllisville, MS 39437-4443
Mailing Address21 Crestwick CirHattiesburg, MS 39402-8354 · (601) 310-4176
Fax(601) 477-5895
Sole ProprietorNo
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
NPI 1508962101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R842124
1101 HIGHWAY 11 S, Ellisville, MS 39437

Other Identifiers 1

Medicaid00125048MS

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 Graham Blesse Fnp 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 39437 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier15 claims51 services$4.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims27 services$0.83 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier99 claims2,765 services$7.21 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier56 claims22,741 services$0.46 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims6,752 services$0.37 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier28 claims11,555 services$1.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Dentist
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Technician
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nursing Facility/Intermediate Care Facility
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Dentist
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Emergency Medicine
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nursing Facility/Intermediate Care Facility
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Pharmacy (Long Term Care Pharmacy)
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
Nursing Facility/Intermediate Care Facility
1101 HIGHWAY 11 S
ELLISVILLE, MS 39437

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 Blesse's NPI number?

The NPI number for Lisa Blesse is 1508962101. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Lisa Blesse located?

Lisa Blesse practices at 1101 Highway 11 S, Ellisville, MS 39437. The listed phone number is (601) 477-5795.

What is Lisa Blesse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Blesse enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Blesse was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.