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LISE MIRLINE DOMMERCANT APN
NPI 1720933716
Nurse Practitioner - Primary Care in Union, NJ

Active since March 04, 2026PECOS Enrolled

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lise Mirline Dommercant Apn NPPES

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

LISE MIRLINE DOMMERCANT APN (NPI 1720933716) is an individual primary care provider in Union, New Jersey, licensed in New Jersey (26BJ15533800) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720933716
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLISE MIRLINE DOMMERCANTCredential: APN
Location Address1553 DAY TERUnion, NJ 07083-4719
Mailing Address1553 Day TerUnion, NJ 07083-4719 · (908) 209-7910
Phone(908) 209-7910
Sole ProprietorNo
Enumeration DateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1720933716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26BJ15533800
1553 DAY TER, Union, NJ 07083
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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 (PECOS)

Lise Mirline Dommercant Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07083 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Lise Dommercant's NPI number?

The NPI number for Lise Dommercant is 1720933716. It was assigned to this individual provider in the NPPES registry on March 4, 2026.

Where is Lise Dommercant located?

Lise Dommercant practices at 1553 Day Ter, Union, NJ 07083. The listed phone number is (908) 209-7910.

What is Lise Dommercant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lise Dommercant enrolled in Medicare?

Yes. Lise Dommercant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lise Dommercant was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.