MRS. LISSA SHAFFER FNP-BC, MSN, R
NPI 1639856404
Nurse Practitioner in Santa Fe, NM

Q: What is Lissa Shaffer's NPI number?

The NPI number for Lissa Shaffer is 1639856404. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Lissa Shaffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lissa Shaffer was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment

4200 BECKNER RD, SANTA FE, NM 87507(505) 477-2200 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2025, Jul 3, 2023 (2 updates tracked since 2023).

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About Mrs. Lissa Shaffer Fnp-bc, Msn, R NPPES

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

MRS. LISSA SHAFFER FNP-BC, MSN, R (NPI 1639856404) is an individual nurse practitioner in Santa Fe, New Mexico, licensed in New Mexico (74136) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Fe, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639856404

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. LISSA SHAFFERCredential: FNP-BC, MSN, R

Location Address4200 BECKNER RDSanta Fe, NM 87507-3774

Mailing Address2085 S Pacheco StSanta Fe, NM 87505-6103 · (505) 477-2200

Phone(505) 477-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 3, 2023

Last NPPES UpdateMay 28, 20252 updates tracked since enumeration

NPPES CertifiedMay 28, 2025

✔ NPI 1639856404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NM · 74136

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4200 BECKNER RD, Santa Fe, NM 87507

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Secondary Practice Location 1

Location 12085 S Pacheco StSanta Fe, NM 87505-6103 · Phone (505) 477-2200

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. Lissa Shaffer Fnp-bc, Msn, R 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 ID6103280862

PECOS Enrollment IDI20230913002902

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 Reassignment

Medicare enrollment records show Lissa Shaffer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nexus Health

Same address

Multi-Specialty

4200 BECKNER ROAD
Santa Fe, NM 87507

Reassigned Medicare billing, New Mexico enrollment
36 clinicians in this Medicare group

NPI 1801516489 (505) 670-8292

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 3

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.

139 services113 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.

25 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87507 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

DOMINIC MATTHEW GUERIN

Physician Assistant