LISA MARIE SMITH-HANNON APRN-C
NPI 1700421450
Nurse Practitioner - Gerontology in Coconut Creek, FL

Active since November 16, 2019PECOS EnrolledAccepts Medicare Assignment
5493 WILES RD STE 106, COCONUT CREEK, FL 33073(321) 214-4530 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 17, 2024, Jan 31, 2023, Sep 23, 2021 and 1 more (4 updates tracked since 2019).

About Lisa Marie Smith-hannon Aprn-c NPPES

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

LISA MARIE SMITH-HANNON APRN-C (NPI 1700421450) is an individual gerontology provider in Coconut Creek, Florida, licensed in Florida (APRN11005075) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700421450
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA MARIE SMITH-HANNONCredential: APRN-C
Location Address5493 WILES RD STE 106Coconut Creek, FL 33073-4219
Mailing Address5325 Lena Rd Ste 101Bradenton, FL 34211-9442 · (941) 301-8485 · Fax (941) 799-6841
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 16, 2019
Last NPPES UpdateMay 17, 20244 updates tracked since enumeration
NPPES CertifiedMay 17, 2024
NPI 1700421450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in FL · APRN11005075
5493 WILES RD STE 106, Coconut Creek, FL 33073

Secondary Practice Locations 2

Location 14353 Heyward StNorth Port, FL 34291-4561 · Phone (941) 416-0972
Location 25325 Lena Rd Ste 101Bradenton, FL 34211-9442 · Phone (941) 301-8485 · Fax (941) 799-6841

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 Smith-hannon Aprn-c 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 ID7810310125
PECOS Enrollment IDI20210107001244
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 33073 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 (Family)
5493 WILES RD STE 106
COCONUT CREEK, FL 33073
Physical Medicine & Rehabilitation
5493 WILES RD STE 106
COCONUT CREEK, FL 33073

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 Smith-hannon's NPI number?

The NPI number for Lisa Smith-hannon is 1700421450. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Where is Lisa Smith-hannon located?

Lisa Smith-hannon practices at 5493 Wiles Rd Ste 106, Coconut Creek, FL 33073. The listed phone number is (321) 214-4530.

What is Lisa Smith-hannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Smith-hannon enrolled in Medicare?

Yes. Lisa Smith-hannon 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 Smith-hannon was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.