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

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: August 02, 2026.

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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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 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.

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.

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 3 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.