LISA WHITLEY CNM
NPI 1679805311
Advanced Practice Midwife in Fontana, CA

Q: What is Lisa Whitley's NPI number?

The NPI number for Lisa Whitley is 1679805311. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Q: What is Lisa Whitley's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Whitley was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 05, 2010PECOS EnrolledAccepts Medicare Assignment

9961 SIERRA AVE, FONTANA, CA 92335(909) 427-5000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Whitley Cnm NPPES

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

LISA WHITLEY CNM (NPI 1679805311) is an individual advanced practice midwife in Fontana, California, licensed in California (NMW1883) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2009).

NPPES Registry Identity

NPI1679805311

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameLISA WHITLEYCredential: CNM

Location Address9961 SIERRA AVEFontana, CA 92335-6720

Mailing Address19856 Deep Harbor DrHuntington Beach, CA 92648-3054

Phone(909) 427-5000

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2009

Enumeration DateFebruary 5, 2010

Last NPPES UpdateNovember 29, 2021

✔ NPI 1679805311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in CA · NMW1883

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

9961 SIERRA AVE, Fontana, CA 92335

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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 Whitley Cnm 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 ID9436313764

PECOS Enrollment IDI20120615000525

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 92335 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

Most-billed visit code 99213

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.

SHEILA ANN VANALLEN PT

Physical Therapist

9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335

San Bernardino County (909) 427-7727

MR. JAMES DAVID KILLEEN III M.D.

Pediatrics

9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335

San Bernardino County (909) 427-6960

MR. DHIRESH N PATEL RPH

Pharmacist