LISA MARIE DEJESUS PMHNP
NPI 1700410628
Nurse Practitioner - Psychiatric/Mental Health in Tiverton, RI

Q: What is Lisa Dejesus's NPI number?

The NPI number for Lisa Dejesus is 1700410628. It was assigned to this individual provider in the NPPES registry on February 29, 2020.

Q: What is Lisa Dejesus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Dejesus was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 29, 2020PECOS EnrolledAccepts Medicare Assignment

301 STATE AVE, TIVERTON, RI 02878(774) 300-3444(774) 307-9039 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Oct 12, 2023, Sep 1, 2022 and 3 more (6 updates tracked since 2020).

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About Lisa Marie Dejesus Pmhnp NPPES

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

LISA MARIE DEJESUS PMHNP (NPI 1700410628) is an individual psychiatric/mental health provider in Tiverton, Rhode Island, licensed in Rhode Island (APRN02508) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Somerset, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1700410628

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA MARIE DEJESUSCredential: PMHNP

Location Address301 STATE AVETiverton, RI 02878-1062

Mailing Address301 State AveTiverton, RI 02878-1062 · (774) 300-3444 · Fax (774) 307-9039

Phone(774) 300-3444

Fax(774) 307-9039

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 29, 2020

Last NPPES UpdateOctober 8, 20256 updates tracked since enumeration

NPPES CertifiedOctober 8, 2025

✔ NPI 1700410628 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

Licenses✔ Licensed in RI · APRN02508✔ Licensed in MA · RNRN2272709

301 STATE AVE, Tiverton, RI 02878

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Secondary Practice Location 1

Location 11154 Riverside AveSomerset, MA 02726-2841 · Phone (774) 300-3444 · Fax (774) 307-9039

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Providence Health Plan.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 Marie Dejesus 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 ID4385043561

PECOS Enrollment IDI20210519002663, I20210614003302

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

208 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

174 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

44 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02878 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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Other Providers at the Same Location NPPES 6

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

KRISTIN BARBER NP

Registered Nurse