Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA ALLEN
NPI 1639098973
Nurse Practitioner - Adult Health in Patchogue, NY

Q: What is Lisa Allen's NPI number?

The NPI number for Lisa Allen is 1639098973. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Lisa Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Allen was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 July 13, 2026PECOS Enrolled

101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Aug 21, 2026, Jul 13, 2026 (3 updates tracked since 2026).

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About Lisa Allen NPPES

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

LISA ALLEN (NPI 1639098973) is an individual adult health provider in Patchogue, New York, licensed in New York (312920) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639098973

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLISA ALLEN

Location Address101 HOSPITAL RDPatchogue, NY 11772-4870

Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 654-7100

Phone(631) 654-7100

Sole ProprietorNo

Enumeration DateJuly 13, 2026

Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1639098973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 312920

101 HOSPITAL RD, Patchogue, NY 11772

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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 Allen 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 11772 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

VAISHALI MEHTA MD

Internal Medicine (Critical Care Medicine)