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MRS. LISA BANIAN NP-C
NPI 1598174120
Nurse Practitioner - Family in Northbridge, MA

Active since August 07, 2014PECOS EnrolledAccepts Medicare Assignment
100 COMMERCE DR, NORTHBRIDGE, MA 01534(508) 372-3510(508) 234-2627 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2026, Aug 5, 2025, Aug 12, 2021 and 1 more (4 updates tracked since 2019).

About Mrs. Lisa Banian Np-c NPPES

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

MRS. LISA BANIAN NP-C (NPI 1598174120) is an individual family provider in Northbridge, Massachusetts, licensed in Massachusetts (RN276936) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598174120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LISA BANIANCredential: NP-C
Location Address100 COMMERCE DRNorthbridge, MA 01534-1415
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 372-3510
Fax(508) 234-2627
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 7, 2014
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1598174120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN276936
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN276936 (MA)
100 COMMERCE DR, Northbridge, MA 01534
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Banian Np-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 ID5294956579
PECOS Enrollment IDI20141030001291
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Banian reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Milford Regional Physician Group, Inc.
6.1 mi
Cardiovascular Disease
308 MAIN ST
Milford, MA 01757
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
NPI 1285031039 (508) 731-2560
Umass Memorial Medical Group, Inc.
11 mi
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Sturdy Health Inc
19 mi
Family Medicine
170 DRAPER AVE
North Attleboro, MA 02760
  • Reassigned Medicare billing, Massachusetts enrollment
  • 17 clinicians in this Medicare group
NPI 1497771703 (508) 699-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01534 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

BRENDA CHARLENE ZYLSTRA NP
Obstetrics & Gynecology
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 234-6260
PATRICK DANIEL HAZARD PA-C
Physician Assistant (Medical)
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 234-6311
MELANIE BOISVERT PA-C
Physician Assistant (Medical)
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 372-3510
JENNIFER GARTMAN MD
Internal Medicine
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 234-6311
MILFORD REGIONAL PHYSICIAN GROUP, INC.
Family Medicine
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 372-3510
DR. ERIKA C POMMETT DO
Family Medicine
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 234-6311
TONYA A BOWZER NP
Nurse Practitioner
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 372-3510
CAILIN MCDEED D.O.
Family Medicine
100 COMMERCE DR
NORTHBRIDGE, MA 01534
Worcester County (508) 234-6311

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 Banian's NPI number?

The NPI number for Lisa Banian is 1598174120. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Lisa Banian located?

Lisa Banian practices at 100 Commerce Dr, Northbridge, MA 01534. The listed phone number is (508) 372-3510.

What is Lisa Banian's specialty?

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

Is Lisa Banian enrolled in Medicare?

Yes. Lisa Banian 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.

Which organizations bill Medicare for Lisa Banian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Banian reassigns Medicare benefits to 3 organizations: Milford Regional Physician Group, Inc. (Milford, MA), Umass Memorial Medical Group, Inc. (Oxford, MA) and Sturdy Health Inc (North Attleboro, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Banian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Banian accept?

Health plans from Taro Health list Lisa Banian 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.

Is Lisa Banian affiliated with any hospitals?

According to CMS data, Lisa Banian is affiliated with Sturdy Memorial Hospital, Milford Regional Medical Center and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Banian was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.