Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since July 05, 2023PECOS EnrolledAccepts Medicare Assignment
5753 HIGHWAY 85 N STE 7937, CRESTVIEW, FL 32536(904) 460-4470 Get Directions Write a Review

NPPES record last updated: September 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 26, 2026, May 17, 2025, Jul 5, 2023 (3 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 Crestview, 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 Address5753 HIGHWAY 85 N STE 7937Crestview, FL 32536-9365
Mailing Address3206 Deerfield Pointe DrOrange Park, FL 32073-1900 · (904) 460-4470
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 5, 2023
Last NPPES UpdateSeptember 26, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2026
✔ 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
5753 HIGHWAY 85 N STE 7937, Crestview, FL 32536

Accepted Insurance

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 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Prieto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1043 PEDIGO WAY STE 13
Bowling Green, KY 42103
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Specialist
101 MADISON ST STE 300
Oak Park, IL 60302
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
Clinical
21 NEWWOOD HILLS AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, Florida enrollment
  • 22 clinicians in this Medicare group

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 32536 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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
5753 HIGHWAY 85 N STE 7937
CRESTVIEW, FL 32536
Nurse Practitioner (Psychiatric/Mental Health)
5753 HIGHWAY 85 N STE 7937
CRESTVIEW, FL 32536

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 5753 Highway 85 N Ste 7937, Crestview, FL 32536. The listed phone number is (904) 460-4470.

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.

Which organizations bill Medicare for Lisa Prieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Prieto reassigns Medicare benefits to 3 organizations: Insight Psychiatry Center LLC (Bowling Green, KY), Cimpar Consulting, LLC (Oak Park, IL) and Rhodium Care Group Florida PA (Lakewood, NJ). 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 Prieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Prieto accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Lisa Prieto 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 Prieto was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.