MS. LISA RUSSAK NP
NPI 1659405835
Nurse Practitioner - Adult Health in Brooklyn, NY

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
121 DEKALB AVE, BROOKLYN, NY 11201(718) 250-6534 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Russak Np NPPES

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

MS. LISA RUSSAK NP (NPI 1659405835) is an individual adult health provider in Brooklyn, New York, licensed in New York (F303001) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1659405835
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LISA RUSSAKCredential: NP
Location Address121 DEKALB AVEBrooklyn, NY 11201-5425
Mailing Address249 Beach 141st StBelle Harbor, NY 11694-1229 · (917) 848-2463
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 1, 2013
NPI 1659405835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F303001
121 DEKALB AVE, Brooklyn, NY 11201

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

Ms. Lisa Russak Np 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 ID4486739190
PECOS Enrollment IDI20080305000396
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 11201 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Pharmacist (Nutrition Support)
121 DEKALB AVE, B231
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201
Orthopaedic Surgery (Hand Surgery)
121 DEKALB AVE, ORTHOSUITE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE, HOUSE STAFF ADMINISTRATION
BROOKLYN, NY 11201
Physical Therapist
121 DEKALB AVE
BROOKLYN, NY 11201
Nurse Practitioner (Family)
121 DEKALB AVE
BROOKLYN, NY 11201
Student in an Organized Health Care Education/Training Program
121 DEKALB AVE
BROOKLYN, NY 11201

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 Russak's NPI number?

The NPI number for Lisa Russak is 1659405835. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Lisa Russak located?

Lisa Russak practices at 121 Dekalb Ave, Brooklyn, NY 11201. The listed phone number is (718) 250-6534.

What is Lisa Russak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Russak enrolled in Medicare?

Yes. Lisa Russak 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 Russak was last updated on August 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.