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LISA A GATES R.N. BSN
NPI 1629228929
Nurse Practitioner - Family in Moraine, OH

Active since September 23, 2008PECOS Enrolled
3033 KETTERING BLVD STE 100, MORAINE, OH 45439(937) 293-2133(855) 252-2435 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2020, Jan 17, 2019 (2 updates tracked since 2019).

About Lisa A Gates R.n. Bsn NPPES

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

LISA A GATES R.N. BSN (NPI 1629228929) is an individual family provider in Moraine, Ohio, licensed in Ohio (APRN.CNP.024014) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1629228929
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA A GATESCredential: R.N. BSN
Location Address3033 KETTERING BLVD STE 100Moraine, OH 45439
Mailing Address3033 Kettering Blvd Ste 100Moraine, OH 45439-1948 · (937) 293-2133 · Fax (855) 252-2435
Phone(937) 293-2133
Fax(855) 252-2435
Sole ProprietorYes
Enumeration DateSeptember 23, 2008
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1629228929 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 OH · APRN.CNP.024014
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 207875 (OH)
3033 KETTERING BLVD STE 100, Moraine, OH 45439
Open in Google Maps ↗

Secondary Practice Location 1

Location 1540 Hathaway RdDayton, OH 45419-3918 · Phone (937) 299-6426 · Fax (937) 299-6426

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa A Gates R.n. Bsn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Gates reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
Same address
Family Medicine
3033 KETTERING BLVD STE 100
Moraine, OH 45439
  • Reassigned Medicare billing, Ohio enrollment
  • 268 clinicians in this Medicare group
NPI 1346254281 (937) 293-2133
Signify Health, LLC
845 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45439 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 11

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

STEFANIE CAIN APRN
Nurse Practitioner (Family)
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133
ABBY NEFF NURSE PRACTITIONER
Nurse Practitioner (Family)
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (248) 434-6169
VPA PC
Family Medicine
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133
HERMAN IRWIN ABROMOWITZ M.D.
Family Medicine
3033 KETTERING BLVD STE 100, VISITING PHYSICIANS ASSOCIATION
DAYTON, OH 45439
Montgomery County (937) 293-2133
DORCAS MARY SIYANATA FNP
Nurse Practitioner (Family)
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133
EVELYN R MOTE M.D.
Family Medicine
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133
CINDY ANN SMITH D.O.
Family Medicine
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133
DIANA L SEEBOCK GNP
Nurse Practitioner (Family)
3033 KETTERING BLVD STE 100
MORAINE, OH 45439
Montgomery County (937) 293-2133

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 Gates's NPI number?

The NPI number for Lisa Gates is 1629228929. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Lisa Gates located?

Lisa Gates practices at 3033 Kettering Blvd Ste 100, Moraine, OH 45439. The listed phone number is (937) 293-2133.

What is Lisa Gates's specialty?

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

Is Lisa Gates enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Gates's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gates reassigns Medicare benefits to 2 organizations: Vpa PC (Moraine, OH) and Signify Health, LLC (Dallas, TX). 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 Gates's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Gates accept?

Health plans from CareSource list Lisa Gates 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 Gates was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.