LISA KOTULA PMHNP
NPI 1639912298
Nurse Practitioner - Psychiatric/Mental Health in Harrison Twp, MI
About Lisa Kotula Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KOTULA PMHNP (NPI 1639912298) is an individual psychiatric/mental health provider in Harrison Twp, Michigan, licensed in Michigan (4704212792) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 Kotula Pmhnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kotula's NPI number?
The NPI number for Lisa Kotula is 1639912298. It was assigned to this individual provider in the NPPES registry on June 13, 2024.
Where is Lisa Kotula located?
Lisa Kotula practices at 25912 Ashby Dr, Harrison Twp, MI 48045. The listed phone number is (586) 242-6623.
What is Lisa Kotula's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lisa Kotula enrolled in Medicare?
Yes. Lisa Kotula 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.
What insurance does Lisa Kotula accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Lisa Kotula 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 Kotula was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lisa Kotula, PMHNP · NPI 1639912298
Psychiatric/Mental Health physician in Harrison Twp, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1639912298 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704212792 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25912 ASHBY DR, Harrison Twp, MI 48045-3081
- **Phone:** (586) 242-6623
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1639912298) · Data from the CMS NPPES public registry.