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LISA L MCDONALD FNP-C
NPI 1770691016
Nurse Practitioner in Ellenburg, NY

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment
16 ST EDMUNDS WAY, ELLENBURG, NY 12933(518) 594-3500(518) 594-3035 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa L Mcdonald Fnp-c NPPES

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

LISA L MCDONALD FNP-C (NPI 1770691016) is an individual nurse practitioner in Ellenburg, New York, licensed in New York (F331452-1) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Keokuk Medical College, College Of Physicians And Surgeons (1996).

NPPES Registry Identity

NPI1770691016
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA L MCDONALDCredential: FNP-C
Location Address16 ST EDMUNDS WAYEllenburg, NY 12933-9998
Mailing Address16 St Edmunds Way, Po Box 94Ellenburg, NY 12933-9998 · (518) 594-3500 · Fax (518) 594-3035
Phone(518) 594-3500
Fax(518) 594-3035
Sole ProprietorYes
Medical School CMSKeokuk Medical College, College Of Physicians And SurgeonsGraduated 1996
Enumeration DateAugust 28, 2006
Last NPPES UpdateMay 11, 2016
✔ NPI 1770691016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F331452-1
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 370412-1 (NY)
16 ST EDMUNDS WAY, Ellenburg, NY 12933
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Other Names 1

Former Name (1)Lisa L Mcdonald Fnp-c

Other Identifiers 4

Other0510GEmpire Bc/bs
Medicaid02218500NY
Medicare PINDD0373
Medicare UPINS97230

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 L Mcdonald Fnp-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 ID9234310681
PECOS Enrollment IDI20110218000253
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
386 services270 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
56 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12933 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

NORTHWESTERN FAMILY MEDICAL CTR
Specialist
16 ST EDMUNDS WAY
ELLENBURG, NY 12933
Clinton County (518) 594-3500

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 Mcdonald's NPI number?

The NPI number for Lisa Mcdonald is 1770691016. It was assigned to this individual provider in the NPPES registry on August 28, 2006. The provider is also known as Lisa L Mcdonald Fnp-C.

Where is Lisa Mcdonald located?

Lisa Mcdonald practices at 16 St Edmunds Way, Ellenburg, NY 12933. The listed phone number is (518) 594-3500.

What is Lisa Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Mcdonald enrolled in Medicare?

Yes. Lisa Mcdonald 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.

Is Lisa Mcdonald affiliated with any hospitals?

According to CMS data, Lisa Mcdonald is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

When was this NPI record last updated?

The NPPES record for Lisa Mcdonald was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.