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LISA MAE MACKALUSO APRN, FNP-C
NPI 1740852771
Nurse Practitioner - Family in Port Huron, MI

Active since July 09, 2021PECOS Enrolled
75/100
CMS Quality Rating
2601 ELECTRIC AVE, PORT HURON, MI 48060(810) 216-1500 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2023, Aug 19, 2021, Jul 9, 2021 (3 updates tracked since 2021).

About Lisa Mae Mackaluso Aprn, Fnp-c NPPES

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

LISA MAE MACKALUSO APRN, FNP-C (NPI 1740852771) is an individual family provider in Port Huron, Michigan, licensed in Michigan (4704252035) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Port Huron.

NPPES Registry Identity

NPI1740852771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MAE MACKALUSOCredential: APRN, FNP-C
Location Address2601 ELECTRIC AVEPort Huron, MI 48060-6587
Mailing Address2601 Electric AvePort Huron, MI 48060-6587 · (810) 216-1500
Phone(810) 216-1500
Sole ProprietorNo
Enumeration DateJuly 9, 2021
Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1740852771 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 MI · 4704252035
2601 ELECTRIC AVE, Port Huron, MI 48060
Open in Google Maps ↗

Secondary Practice Location 1

Location 11221 Pine Grove AvePort Huron, MI 48060-3511 · Phone (810) 987-5000 · Fax (810) 985-2671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Mae Mackaluso Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Lisa Mackaluso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihp Mi Emergency Medicine PLLC
62 mi
Emergency Medicine
6245 INKSTER RD
Garden City, MI 48135
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
NPI 1861147456 (484) 965-9566

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 48060 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

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

SERENE ANESTHESIOLOGY PLLC
Anesthesiology
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 216-1500
KAREN SHELLY UHLMAN PT
Physical Therapist
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 216-1800
MR. TODD D BOSWELL CRNA
Nurse Anesthetist, Certified Registered
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-1550
DR. BETH MARIE MAES PHARM.D.
Pharmacist
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-1480
MRS. NICOLE SCHOTT MSOT, OTRL
Occupational Therapist
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 216-1800
H MCDONALD MD, PC
Pathology (Anatomic Pathology & Clinical Pathology)
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 985-1500
BLUE WATER RAD ONC, LLC
Radiology (Radiation Oncology)
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 216-2902
PRIME HEALTHCARE SERVICES-PORT HURON LLC
Pharmacy (Community/Retail Pharmacy)
2601 ELECTRIC AVE
PORT HURON, MI 48060
St. Clair County (810) 216-3140

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 Mackaluso's NPI number?

The NPI number for Lisa Mackaluso is 1740852771. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Where is Lisa Mackaluso located?

Lisa Mackaluso practices at 2601 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 216-1500.

What is Lisa Mackaluso's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Mackaluso enrolled in Medicare?

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

Which organization bills Medicare for Lisa Mackaluso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mackaluso reassigns Medicare benefits to Ihp Mi Emergency Medicine PLLC (Garden City, MI). The 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 Mackaluso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Mackaluso accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lisa Mackaluso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Mackaluso was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.