LISA COSTA CNP
NPI 1790335214
Nurse Practitioner - Psychiatric/Mental Health in Pembroke, MA
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, maintains a secondary practice location in Norwell, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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 Costa Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Costa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pembroke, MA 02359
- Reassigned Medicare billing, Massachusetts enrollment
- 7 clinicians in this Medicare group
Taunton, MA 02780
- Reassigned Medicare billing, Massachusetts enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
PEMBROKE, MA 02359
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 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.
Where is Lisa Costa located?
Lisa Costa practices at 20 Winter St, Pembroke, MA 02359. The listed phone number is (781) 887-7377.
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.
Is Lisa Costa enrolled in Medicare?
Yes. Lisa Costa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Costa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Costa reassigns Medicare benefits to 2 organizations: Lighthouse Mental Wellness PLLC (Pembroke, MA) and Northeast Health Services, LLC (Taunton, MA). 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 Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Costa accept?
Health plans from Harvard Pilgrim Health Care list Lisa Costa 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 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 18 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.
# Lisa Costa, CNP · NPI 1790335214
Psychiatric/Mental Health physician in Pembroke, Massachusetts. Individual provider, active in the CMS NPPES registry since September 17, 2019.
## Identity
- **NPI:** 1790335214 (Entity type: Individual)
- **Enumerated:** September 17, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN197629 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 WINTER ST, Pembroke, MA 02359-4965
- **Phone:** (781) 887-7377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lighthouse Mental Wellness PLLC (NPI 1821564790, Pembroke, MA); Northeast Health Services, LLC (NPI 1225067481, Taunton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790335214) · Data from the CMS NPPES public registry.