LISA PEREIRA AGNP-C
NPI 1790447688
Nurse Practitioner - Adult Health in Port Jefferson, NY
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, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Pereira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1306631742 (New York)
- 68 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Lisa Pereira's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pereira reassigns Medicare benefits to 2 organizations: Harbor View Medical Services PC (Port Jefferson, NY) and Brookview Medical Associates, PLLC (Bohemia, NY). 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 Pereira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Pereira affiliated with any hospitals?
According to CMS data, Lisa Pereira is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
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.
# Lisa Pereira, AGNP-C · NPI 1790447688
Adult Health physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since October 8, 2021.
## Identity
- **NPI:** 1790447688 (Entity type: Individual)
- **Enumerated:** October 8, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310362 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 70 N COUNTRY RD STE 102, Port Jefferson, NY 11777-2161
- **Phone:** (631) 938-6999 · **Fax:** (631) 403-2749
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Harbor View Medical Services PC (NPI 1215571450, Port Jefferson, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790447688) · Data from the CMS NPPES public registry.