LISA KAY ASTALOS CHISM M.S, R.N., C.S.
NPI 1649484411
Nurse Practitioner in Woodhaven, MI

Active since May 10, 2007PECOS Enrolled
21090 ALLEN RD, WOODHAVEN, MI 48183(734) 676-9800(734) 676-9801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Kay Astalos Chism M.s, R.n., C.s. NPPES

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

LISA KAY ASTALOS CHISM M.S, R.N., C.S. (NPI 1649484411) is an individual nurse practitioner in Woodhaven, Michigan, licensed in Michigan (4704176901) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649484411
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA KAY ASTALOS CHISMCredential: M.S, R.N., C.S.
Location Address21090 ALLEN RDWoodhaven, MI 48183-1602
Mailing Address23401 Leighwood DrWoodhaven, MI 48183-2774 · (734) 676-9800 · Fax (734) 676-9801
Fax(734) 676-9801
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649484411 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 MI · 4704176901
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.
21090 ALLEN RD, Woodhaven, MI 48183

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Kay Astalos Chism M.s, R.n., C.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 9

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

Clinic/Center (Urgent Care)
21090 ALLEN RD
WOODHAVEN, MI 48183
Internal Medicine
21090 ALLEN RD
WOODHAVEN, MI 48183
Clinic/Center
21090 ALLEN RD
WOODHAVEN, MI 48183
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21090 ALLEN RD
WOODHAVEN, MI 48183
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21090 ALLEN RD
WOODHAVEN, MI 48183
Family Medicine
21090 ALLEN RD
WOODHAVEN, MI 48183
Nurse Practitioner (Family)
21090 ALLEN RD
WOODHAVEN, MI 48183
Clinic/Center (Urgent Care)
21090 ALLEN RD
WOODHAVEN, MI 48183

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 Astalos Chism's NPI number?

The NPI number for Lisa Astalos Chism is 1649484411. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Lisa Astalos Chism located?

Lisa Astalos Chism practices at 21090 Allen Rd, Woodhaven, MI 48183. The listed phone number is (734) 676-9800.

What is Lisa Astalos Chism's specialty?

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

Is Lisa Astalos Chism enrolled in Medicare?

Yes. Lisa Astalos Chism is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Astalos Chism was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.