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LISA PEREIRA AGNP-C
NPI 1790447688
Nurse Practitioner - Adult Health in Port Jefferson, NY

Active since October 08, 2021PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
70 N COUNTRY RD STE 102, PORT JEFFERSON, NY 11777(631) 938-6999(631) 403-2749 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2024, Oct 8, 2021 (2 updates tracked since 2021).

About Lisa Pereira Agnp-c NPPES

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

LISA PEREIRA AGNP-C (NPI 1790447688) is an individual adult health provider in Port Jefferson, New York, licensed in New York (F310362) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790447688
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLISA PEREIRACredential: AGNP-C
Location Address70 N COUNTRY RD STE 102Port Jefferson, NY 11777-2161
Mailing Address70 N Country Rd Ste 102Port Jefferson, NY 11777-2161 · (631) 938-6999 · Fax (631) 403-2749
Phone(631) 938-6999
Fax(631) 403-2749
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 8, 2021
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
✔ NPI 1790447688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F310362
70 N COUNTRY RD STE 102, Port Jefferson, NY 11777
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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 Pereira Agnp-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 ID1355749714
PECOS Enrollment IDI20211015000233
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 11777 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. MOHAMAD H ABOUZEID M.D.
Surgery
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777
Suffolk County (631) 938-6999
HARBOR VIEW MEDICAL SERVICES PC
Surgery
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777
Suffolk County (631) 938-6999
RHEANNA LOUISE CLUCKEY
Registered Nurse
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777
Suffolk County (631) 938-6999
HARBOR VIEW MEDICAL SERVICES PC
Surgery
70 N COUNTRY RD STE 102
PORT JEFFERSON, NY 11777
Suffolk County (631) 938-6999

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 Pereira's NPI number?

The NPI number for Lisa Pereira is 1790447688. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Lisa Pereira located?

Lisa Pereira practices at 70 N Country Rd Ste 102, Port Jefferson, NY 11777. The listed phone number is (631) 938-6999.

What is Lisa Pereira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Pereira enrolled in Medicare?

Yes. Lisa Pereira 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.

When was this NPI record last updated?

The NPPES record for Lisa Pereira was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.