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LISA MANUBENS
NPI 1790591931
Nurse Practitioner - Gerontology in Windermere, FL

Active since December 03, 2024PECOS EnrolledAccepts Medicare Assignment
11114 CAMDEN PARK DR, WINDERMERE, FL 34786(727) 871-6161 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Manubens NPPES

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

LISA MANUBENS (NPI 1790591931) is an individual gerontology provider in Windermere, Florida, licensed in Florida (APRN11036629) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790591931
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLISA MANUBENS
Location Address11114 CAMDEN PARK DRWindermere, FL 34786-5634
Mailing AddressPo Box 537Haines City, FL 33845-0537 · (727) 871-6161
Phone(727) 871-6161
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1790591931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11036629
11114 CAMDEN PARK DR, Windermere, FL 34786
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Manubens 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 ID6901107275
PECOS Enrollment IDI20241230001675
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Manubens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Physicians Team LLC
31 mi
Clinic/Center
1225 HAVENDALE BLVD NW
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 7 clinicians in this Medicare group
NPI 1609370774 (863) 298-6717
Manubens Comprehensive Clinic LLC
41 mi
Cardiovascular Disease
4315 HIGHLAND PARK BLVD STE A
Lakeland, FL 33813
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1841627791 (407) 467-1036

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 34786 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Manubens's NPI number?

The NPI number for Lisa Manubens is 1790591931. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Lisa Manubens located?

Lisa Manubens practices at 11114 Camden Park Dr, Windermere, FL 34786. The listed phone number is (727) 871-6161.

What is Lisa Manubens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Manubens enrolled in Medicare?

Yes. Lisa Manubens 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 Manubens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Manubens reassigns Medicare benefits to 2 organizations: Mobile Physicians Team LLC (Winter Haven, FL) and Manubens Comprehensive Clinic LLC (Lakeland, FL). 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 Manubens'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 Manubens was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.