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LISA TACK PA-C
NPI 1568835189
Physician Assistant in Delray Beach, FL

Active since November 04, 2015PECOS EnrolledAccepts Medicare Assignment
5210 LINTON BLVD STE 207, DELRAY BEACH, FL 33484(561) 559-1516(561) 270-3928 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Tack Pa-c NPPES

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

LISA TACK PA-C (NPI 1568835189) is an individual physician assistant in Delray Beach, Florida, licensed in Florida (PA9109250) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568835189
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA TACKCredential: PA-C
Location Address5210 LINTON BLVD STE 207Delray Beach, FL 33484-6537
Mailing Address5210 Linton Blvd Ste 207Delray Beach, FL 33484-6537 · (561) 559-1516 · Fax (561) 270-3928
Phone(561) 559-1516
Fax(561) 270-3928
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 4, 2015
Last NPPES UpdateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1568835189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9109250
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5210 LINTON BLVD STE 207, Delray Beach, FL 33484
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida.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

Lisa Tack Pa-c 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 ID9234428152
PECOS Enrollment IDI20160517000898
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 33484 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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

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

RICHARD JOSEPH STALLER D.D.S.
Dentist
5210 LINTON BLVD STE 207
DELRAY BEACH, FL 33484
Palm Beach County (561) 495-2099

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 Tack's NPI number?

The NPI number for Lisa Tack is 1568835189. It was assigned to this individual provider in the NPPES registry on November 4, 2015.

Where is Lisa Tack located?

Lisa Tack practices at 5210 Linton Blvd Ste 207, Delray Beach, FL 33484. The listed phone number is (561) 559-1516.

What is Lisa Tack's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Tack enrolled in Medicare?

Yes. Lisa Tack 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 Lisa Tack accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Lisa Tack 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 Lisa Tack was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.