LISA FITZGERALD AGACNP-BC
NPI 1790144475
Nurse Practitioner - Acute Care in New York, NY

Active since February 23, 2016PECOS Enrolled
79.03/100
CMS Quality Rating
301 E 17TH ST, NEW YORK, NY 10003(212) 598-6205 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Feb 12, 2018, Feb 23, 2016 (3 updates tracked since 2016).

About Lisa Fitzgerald Agacnp-bc NPPES

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

LISA FITZGERALD AGACNP-BC (NPI 1790144475) is an individual acute care provider in New York, New York, licensed in New York (F430945) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1790144475
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA FITZGERALDCredential: AGACNP-BC
Location Address301 E 17TH STNew York, NY 10003-3804
Mailing Address1275 York AveNew York, NY 10065-6007
Sole ProprietorNo
Enumeration DateFebruary 23, 2016
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1790144475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NY · F430945
301 E 17TH ST, New York, NY 10003

Secondary Practice Location 1

Location 1301 E 17th StNew York, NY 10003-3804 · Phone (212) 598-6205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Fitzgerald Agacnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
Improvement Activities40

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.

Specialist/Technologist (Athletic Trainer)
301 E 17TH ST
NEW YORK, NY 10003
Radiology (Diagnostic Radiology)
301 E 17TH ST
NEW YORK, NY 10003
Radiology (Diagnostic Radiology)
301 E 17TH ST
NEW YORK, NY 10003
Radiology (Diagnostic Radiology)
301 E 17TH ST
NEW YORK, NY 10003
Psychiatry & Neurology (Clinical Neurophysiology)
301 E 17TH ST
NEW YORK, NY 10003
Radiology (Diagnostic Radiology)
301 E 17TH ST, ROOM 600
NEW YORK, NY 10003
Clinical Neuropsychologist
301 E 17TH ST, 9TH FLOOR
NEW YORK, NY 10003
Nurse Practitioner (Family)
301 E 17TH ST, NURSING OFFICE
NEW YORK, NY 10003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790144475, enumerated as an "individual" on February 23, 2016.

The provider is located at 301 E 17TH ST NEW YORK, NY 10003 and the phone number is (212) 598-6205.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.