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LISA D PRIETO PMHNP
NPI 1699453290
Nurse Practitioner - Psychiatric/Mental Health in Orange Park, FL

Active since July 05, 2023PECOS EnrolledAccepts Medicare Assignment
1215 KINGSLEY AVE, ORANGE PARK, FL 32073(352) 727-3888(904) 264-2253 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2025, Jul 5, 2023 (2 updates tracked since 2023).

About Lisa D Prieto Pmhnp NPPES

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

LISA D PRIETO PMHNP (NPI 1699453290) is an individual psychiatric/mental health provider in Orange Park, Florida, licensed in Florida (05250025) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1699453290
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA D PRIETOCredential: PMHNP
Location Address1215 KINGSLEY AVEOrange Park, FL 32073-4631
Mailing Address3206 Deerfield Pointe DrOrange Park, FL 32073-1900 · (352) 727-3888 · Fax (904) 264-2253
Phone(352) 727-3888
Fax(904) 264-2253
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2023
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1699453290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 05250025
1215 KINGSLEY AVE, Orange Park, FL 32073
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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 D Prieto Pmhnp 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 ID3779087853
PECOS Enrollment IDI20250920000712
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 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

MRS. ASHLEY MARIE LOVELAND OTR/L
Occupational Therapist
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
MR. GARFIELD S KNIGHT PTA
Physical Therapy Assistant
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
MRS. JENNIFER STANLEY ESTRADA OTR/L
Occupational Therapist
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
TANDEM HEALTH CARE OF ORANGE PARK, INC.
Skilled Nursing Facility
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
MARY POWERS COTA/L
Occupational Therapy Assistant
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
MR. JAMES CLERIDOR COTA/L
Occupational Therapy Assistant
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
THERESA MARIE ROHRER PTA
Physical Therapy Assistant
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922
STEPHANIE TRAMAINE LEWIS COTA
Occupational Therapy Assistant
1215 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 269-8922

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 Prieto's NPI number?

The NPI number for Lisa Prieto is 1699453290. It was assigned to this individual provider in the NPPES registry on July 5, 2023.

Where is Lisa Prieto located?

Lisa Prieto practices at 1215 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (352) 727-3888.

What is Lisa Prieto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Prieto enrolled in Medicare?

Yes. Lisa Prieto 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 Prieto was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.