MS. MARYANN LISAK RN, MS, PNP
NPI 1790732899
Nurse Practitioner - Psychiatric/Mental Health in Burlington, VT

Active since May 27, 2006
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401(802) 860-1928 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2021, Jul 9, 2021 (2 updates tracked since 2021).

About Ms. Maryann Lisak Rn, Ms, Pnp NPPES

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

MS. MARYANN LISAK RN, MS, PNP (NPI 1790732899) is an individual psychiatric/mental health provider in Burlington, Vermont, licensed in Vermont (101.0019912) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1790732899
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MARYANN LISAKCredential: RN, MS, PNP
Location Address128 LAKESIDE AVE, SUITE 115Burlington, VT 05401-4939
Mailing Address128 Lakeside Ave, Suite 115Burlington, VT 05401-4939 · (802) 860-1928
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1790732899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VT · 101.0019912
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 1010019912 (VT)
128 LAKESIDE AVE, Burlington, VT 05401

Other Identifiers 1

Medicaid6703781VT

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Registered Nurse
128 LAKESIDE AVE
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Non-Pharmacy Dispensing Site
128 LAKESIDE AVE, STE 301
BURLINGTON, VT 05401
Dietitian, Registered (Nutrition, Metabolic)
128 LAKESIDE AVE
BURLINGTON, VT 05401

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 Maryann Lisak's NPI number?

The NPI number for Maryann Lisak is 1790732899. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Maryann Lisak located?

Maryann Lisak practices at 128 Lakeside Ave Suite 115, Burlington, VT 05401. The listed phone number is (802) 860-1928.

What is Maryann Lisak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Maryann Lisak accept?

Health plans from Anthem Blue Cross and Blue Shield list Maryann Lisak 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 Maryann Lisak was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.