LISA SHALLIS CRNP
NPI 1679049597
Nurse Practitioner - Women's Health in Newark, DE
About Lisa Shallis Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA SHALLIS CRNP (NPI 1679049597) is an individual women's health provider in Newark, Delaware, licensed in Delaware (LH-0010276) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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 Shallis Crnp 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 19713 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
NEWARK, DE 19713
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 Shallis's NPI number?
The NPI number for Lisa Shallis is 1679049597. It was assigned to this individual provider in the NPPES registry on October 18, 2018.
Where is Lisa Shallis located?
Lisa Shallis practices at 1 Centurian Dr Ste 312, Newark, DE 19713. The listed phone number is (302) 319-5680.
What is Lisa Shallis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.
Is Lisa Shallis enrolled in Medicare?
Yes. Lisa Shallis 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 Shallis accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Lisa Shallis 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 Shallis was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Shallis, CRNP · NPI 1679049597
Women's Health physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since October 18, 2018.
## Identity
- **NPI:** 1679049597 (Entity type: Individual)
- **Enumerated:** October 18, 2018
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** LH-0010276 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CENTURIAN DR STE 312, Newark, DE 19713-2127
- **Phone:** (302) 319-5680
## 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 2018
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679049597) · Data from the CMS NPPES public registry.