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LISA CEFALO NP
NPI 1619613460
Nurse Practitioner - Acute Care in Melrose, MA

Active since May 05, 2022PECOS EnrolledAccepts Medicare Assignment
585 LEBANON ST, MELROSE, MA 02176(781) 979-3351 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2024, Sep 23, 2022, May 5, 2022 (3 updates tracked since 2022).

About Lisa Cefalo Np NPPES

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

LISA CEFALO NP (NPI 1619613460) is an individual acute care provider in Melrose, Massachusetts, licensed in Massachusetts (RN268326) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1619613460
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA CEFALOCredential: NP
Location Address585 LEBANON STMelrose, MA 02176-3225
Mailing Address585 Lebanon StMelrose, MA 02176-3225
Phone(781) 979-3351
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2022
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
✔ NPI 1619613460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN268326
585 LEBANON ST, Melrose, MA 02176
Open in Google Maps ↗

Other Names 1

Other Name (5)Lisa Cefalo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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 Cefalo Np 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 ID5092191452
PECOS Enrollment IDI20221007002638
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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02176 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.

ROBERT STOICA PHARMD
Pharmacist
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
JOSHUA P STEIN M.D.
Radiology (Diagnostic Radiology)
585 LEBANON ST, HALLMARK IMAGING
MELROSE, MA 02176
Middlesex County (781) 979-3117
SARAH BLOOM
Physician Assistant
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3635
ALEXANDER O. WALKER III M.D.
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3635
KASHIF SAMAD
Internal Medicine
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
METROPOLITAN ANESTHESIA, LLC
Anesthesiology
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000
ELLEN ANNA RAWNSLEY RPH
Pharmacist
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3855
KRISTIN MARIE TAMMARO NP
Nurse Practitioner (Acute Care)
585 LEBANON ST
MELROSE, MA 02176
Middlesex County (781) 979-3000

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 Cefalo's NPI number?

The NPI number for Lisa Cefalo is 1619613460. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Lisa Cefalo located?

Lisa Cefalo practices at 585 Lebanon St, Melrose, MA 02176. The listed phone number is (781) 979-3351.

What is Lisa Cefalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Cefalo enrolled in Medicare?

Yes. Lisa Cefalo 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 Cefalo accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Lisa Cefalo 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 Cefalo affiliated with any hospitals?

According to CMS data, Lisa Cefalo is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Lisa Cefalo was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.