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MS. LISA M TEEVAN NP
NPI 1720952880
Nurse Practitioner - Primary Care in Simi Valley, CA

Active since October 01, 2025PECOS Enrolled
2139 TAPO ST STE 210, SIMI VALLEY, CA 93063(805) 584-3000 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa M Teevan Np NPPES

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

MS. LISA M TEEVAN NP (NPI 1720952880) is an individual primary care provider in Simi Valley, California, licensed in California (95037271) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720952880
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. LISA M TEEVANCredential: NP
Location Address2139 TAPO ST STE 210Simi Valley, CA 93063-3476
Mailing Address2139 Tapo St Ste 210Simi Valley, CA 93063-3476 · (805) 584-3000
Phone(805) 584-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1720952880 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 CA · 95037271
2139 TAPO ST STE 210, Simi Valley, CA 93063
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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)

Ms. Lisa M Teevan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729574330
PECOS Enrollment IDI20260105000402
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 93063 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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 Lisa Teevan's NPI number?

The NPI number for Lisa Teevan is 1720952880. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Lisa Teevan located?

Lisa Teevan practices at 2139 Tapo St Ste 210, Simi Valley, CA 93063. The listed phone number is (805) 584-3000.

What is Lisa Teevan's specialty?

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

Is Lisa Teevan enrolled in Medicare?

Yes. Lisa Teevan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Teevan was last updated on October 1, 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.