LISA COSTA CNP
NPI 1790335214
Nurse Practitioner - Psychiatric/Mental Health in Pembroke, MA

Q: What is Lisa Costa's NPI number?

The NPI number for Lisa Costa is 1790335214. It was assigned to this individual provider in the NPPES registry on September 17, 2019.

Q: What is Lisa Costa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Costa was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 17, 2019PECOS Enrolled

20 WINTER ST, PEMBROKE, MA 02359(781) 887-7377 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Dec 4, 2020, Sep 17, 2019 (3 updates tracked since 2019).

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About Lisa Costa Cnp NPPES

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

LISA COSTA CNP (NPI 1790335214) is an individual psychiatric/mental health provider in Pembroke, Massachusetts, licensed in Massachusetts (RN197629) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Norwell.

NPPES Registry Identity

NPI1790335214

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA COSTACredential: CNP

Location Address20 WINTER STPembroke, MA 02359-4965

Mailing Address79 Barstow AveNorwell, MA 02061-2831

Phone(781) 887-7377

Sole ProprietorYes

Enumeration DateSeptember 17, 2019

Last NPPES UpdateMay 8, 20253 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1790335214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · RN197629

Also ListedRegistered NurseTaxonomy 163W00000X · License 197629 (MA)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 197629 (MA)

20 WINTER ST, Pembroke, MA 02359

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Secondary Practice Location 1

Location 179 Barstow AveNorwell, MA 02061-2831 · Phone (781) 704-5286

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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 Costa Cnp 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.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

342 services66 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

38 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02359 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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 20

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

NAOMI GRANT

Assistant Behavior Analyst