MRS. LISA DIANE LYKISSAS NP
NPI 1790522753
Nurse Practitioner - Acute Care in La Jolla, CA
About Mrs. Lisa Diane Lykissas Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA DIANE LYKISSAS NP (NPI 1790522753) is an individual acute care provider in La Jolla, California, licensed in California (NP95032602) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
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 (PECOS)
Mrs. Lisa Diane Lykissas Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Lykissas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1740382993 (California), NPI 1003934803 (California)
- 1,051 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 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.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Lykissas's NPI number?
The NPI number for Lisa Lykissas is 1790522753. It was assigned to this individual provider in the NPPES registry on July 9, 2024.
Where is Lisa Lykissas located?
Lisa Lykissas practices at 9300 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (800) 926-8273.
What is Lisa Lykissas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Lisa Lykissas enrolled in Medicare?
Yes. Lisa Lykissas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Lykissas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lykissas reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The 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 Lykissas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Lykissas was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Lisa Diane Lykissas, NP · NPI 1790522753
Acute Care physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since July 9, 2024.
## Identity
- **NPI:** 1790522753 (Entity type: Individual)
- **Enumerated:** July 9, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** NP95032602 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9300 CAMPUS POINT DR, La Jolla, CA 92037-1300
- **Phone:** (800) 926-8273
## 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:** Regents Of The University Of California (NPI 1487772380, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790522753) · Data from the CMS NPPES public registry.