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MS. LISA M TEEVAN NP
NPI 1720952880
Nurse Practitioner - Family 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: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 family provider in Simi Valley, California, licensed in California (95037271) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ventura, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720952880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
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
Last NPPES UpdateAugust 21, 2026
NPPES CertifiedAugust 21, 2026
✔ NPI 1720952880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95037271
2139 TAPO ST STE 210, Simi Valley, CA 93063
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Hillmont Ave Bldg 340 Ste 501Ventura, CA 93003 · Phone (805) 652-6218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

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

County Of Ventura
3.0 mi
Community/Behavioral Health
1900 E LOS ANGELES AVE STE 100
Simi Valley, CA 93065
  • Reassigned Medicare billing, California enrollment
  • 710 clinicians in this Medicare group
NPI 1013139658 (805) 577-1724
Community Memorial Health System
15 mi
Rural Health
852 W VENTURA ST
Fillmore, CA 93015
  • Reassigned Medicare billing, California enrollment
  • 267 clinicians in this Medicare group
NPI 1427084862 (805) 524-2672
Dietz Regenerative Health Corporation
31 mi
General Practice
3717 TELEGRAPH RD
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1174402010 (805) 586-2068

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 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 Family, with taxonomy code 363LF0000X.

Is Lisa Teevan enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Teevan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Teevan reassigns Medicare benefits to 3 organizations: County Of Ventura (Simi Valley, CA), Community Memorial Health System (Fillmore, CA) and Dietz Regenerative Health Corporation (Ventura, CA). 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 Teevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Teevan was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.