LISA ENDANATTU FNP-BC
NPI 1639894793
Nurse Practitioner - Family in Nutley, NJ

Q: What is Lisa Endanattu's NPI number?

The NPI number for Lisa Endanattu is 1639894793. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Q: What is Lisa Endanattu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Endanattu was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 11, 2022PECOS EnrolledAccepts Medicare Assignment

88 PARK AVE STE 2A, NUTLEY, NJ 07110(973) 571-2121 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Endanattu Fnp-bc NPPES

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

LISA ENDANATTU FNP-BC (NPI 1639894793) is an individual family provider in Nutley, New Jersey, licensed in New York (350529) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639894793

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ENDANATTUCredential: FNP-BC

Location Address88 PARK AVE STE 2ANutley, NJ 07110-3500

Mailing Address9 E Palisades AveNanuet, NY 10954-3345 · (845) 709-1490

Phone(973) 571-2121

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 11, 2022

NPPES CertifiedSeptember 21, 2022

✔ NPI 1639894793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 350529

88 PARK AVE STE 2A, Nutley, NJ 07110

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Accepted Insurance

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

Lisa Endanattu Fnp-bc 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 ID2466824909

PECOS Enrollment IDI20230210000616

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 Lisa Endanattu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Schweiger Dermatology, PC

100 mi

Dermatology

420 FRONT ST
Elmer, NJ 08318

Reassigned Medicare billing, New Jersey enrollment
141 clinicians in this Medicare group

NPI 1104229392 (973) 878-0850

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

203 services22 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.

171 services108 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

114 services77 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

109 services41 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

90 services62 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

72 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07110 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 4

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

MRS. BHOOMI D THAKKAR PA-C

Physician Assistant

88 PARK AVE STE 2A
NUTLEY, NJ 07110

Essex County (973) 571-2121

ANNE KRISTIN DANIELS PA

Physician Assistant

88 PARK AVE STE 2A
NUTLEY, NJ 07110

Essex County (973) 571-2121

ANGELA M RYERSON PA

Dermatology

88 PARK AVE STE 2A
NUTLEY, NJ 07110

Essex County (973) 571-2121

KACIE KOCHKA NP

Nurse Practitioner

88 PARK AVE STE 2A
NUTLEY, NJ 07110

Essex County (973) 434-1402

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 Endanattu's NPI number?

The NPI number for Lisa Endanattu is 1639894793. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Lisa Endanattu located?

Lisa Endanattu practices at 88 Park Ave Ste 2A, Nutley, NJ 07110. The listed phone number is (973) 571-2121.

What is Lisa Endanattu's specialty?

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

Is Lisa Endanattu enrolled in Medicare?

Yes. Lisa Endanattu 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 organization bills Medicare for Lisa Endanattu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Endanattu reassigns Medicare benefits to Schweiger Dermatology, PC (Elmer, NJ). The 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 Endanattu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Endanattu accept?

Health plans from Oscar Health list Lisa Endanattu 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 Endanattu was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.