LISA HANNA AGPCNP
NPI 1649143090
Nurse Practitioner - Gerontology in Mount Pocono, PA
About Lisa Hanna Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA HANNA AGPCNP (NPI 1649143090) is an individual gerontology provider in Mount Pocono, Pennsylvania, licensed in Pennsylvania (SP034348) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Hanna Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Hanna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Pocono, PA 18344
- Reassigned Medicare billing, Pennsylvania enrollment
Dallas, TX 75244
- Reassigned Medicare billing, Pennsylvania enrollment
- 553 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Hanna's NPI number?
The NPI number for Lisa Hanna is 1649143090. It was assigned to this individual provider in the NPPES registry on September 23, 2025.
Where is Lisa Hanna located?
Lisa Hanna practices at 111 Alice Ln, Mount Pocono, PA 18344. The listed phone number is (570) 972-7879.
What is Lisa Hanna's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Lisa Hanna enrolled in Medicare?
Yes. Lisa Hanna is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Hanna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Hanna reassigns Medicare benefits to 2 organizations: Longevity Healthcare LLC (Mount Pocono, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Hanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Hanna was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lisa Hanna, AGPCNP · NPI 1649143090
Gerontology physician in Mount Pocono, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 23, 2025.
## Identity
- **NPI:** 1649143090 (Entity type: Individual)
- **Enumerated:** September 23, 2025
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** SP034348 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 ALICE LN, Mount Pocono, PA 18344-7100
- **Phone:** (570) 972-7879
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Longevity Healthcare LLC (NPI 1316804495, Mount Pocono, PA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649143090) · Data from the CMS NPPES public registry.