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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Whitley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910
Obhg California, P.C.
1,993 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group
NPI 1215258892 (800) 967-2289

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 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
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 302-8018
JOSHUA MO MD
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-5000
MS. STELLA MARIS CARLOS R.D.
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 472-7185
KADETTE KELLY CRNA
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
YAEL STEINFELD NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910
SCOTT SWARTZ NP
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
San Bernardino County (909) 427-3910

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 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.

Where is Lisa Whitley located?

Lisa Whitley practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-5000.

What is Lisa Whitley's specialty?

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

Is Lisa Whitley enrolled in Medicare?

Yes. Lisa Whitley 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.

Which organizations bill Medicare for Lisa Whitley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Whitley reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Fontana, CA) and Obhg California, P.C. (Greenville, SC). 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 Whitley'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 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.