LISA LEILANI VAN TINE CPNP,CNS
NPI 1508973074
Nurse Practitioner - Pediatrics in Aurora, CO

Q: What is Lisa Van Tine's NPI number?

The NPI number for Lisa Van Tine is 1508973074. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Lisa Van Tine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Van Tine was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 23, 2006PECOS Enrolled

3292 PEORIA ST, AURORA, CO 80010(303) 343-6130(303) 344-0664 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2019, Aug 11, 2016 (2 updates tracked since 2016).

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About Lisa Leilani Van Tine Cpnp,cns NPPES

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

LISA LEILANI VAN TINE CPNP,CNS (NPI 1508973074) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (APN.0004136-NP) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508973074

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLISA LEILANI VAN TINECredential: CPNP,CNS

Location Address3292 PEORIA STAurora, CO 80010-1517

Mailing Address3701 S BroadwayEnglewood, CO 80113-3611 · (303) 761-1977 · Fax (303) 761-2787

Phone(303) 343-6130

Fax(303) 344-0664

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateJanuary 16, 20192 updates tracked since enumeration

✔ NPI 1508973074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CO · APN.0004136-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.0127666 (CO)

Also ListedNurse PractitionerTaxonomy 363L00000X · License RXN.0006301-NP (CO)

3292 PEORIA ST, Aurora, CO 80010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Leilani Van Tine Cpnp,cns 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 80010 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

Clinical Medical Laboratory