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

NPI Status: Active since May 27, 2006

Contact Information

128 LAKESIDE AVE
SUITE 115
BURLINGTON, VT
ZIP 05401
Phone: (802) 860-1928

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  • Individual
  • Female
  • Nurse Practitioner
  • Psychiatric/Mental Health
  • Accepts Insurance

About MARYANN LISAK

This page provides the complete NPI Profile along with additional information for Maryann Lisak, a provider established in Burlington, Vermont with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1790732899 assigned on May 2006. The practitioner's primary taxonomy code is 363LP0808X with license number 101.0019912 (VT). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1790732899
Provider Name
MS. MARYANN LISAK RN, MS, PNP
Gender
Female
Entity Type
Individual
Location Address
128 LAKESIDE AVE SUITE 115 BURLINGTON, VT 05401
Location Phone
(802) 860-1928
Mailing Address
128 LAKESIDE AVE SUITE 115 BURLINGTON, VT 05401
Mailing Phone
(802) 860-1928
Is Sole Proprietor?
Yes
Enumeration Date
05-27-2006
Last Update Date
07-20-2021
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A nurse practitioner (NP) like Maryann Lisak is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
101.0019912
License State
VT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

1010019912 (VT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6703781MEDICAID (05)VT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790732899, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 3 + 4 + 8 + 1 + 8 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1790732899.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Dietitian, Registered (Nutrition, Metabolic)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Dietitian, Registered
128 LAKESIDE AVE
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Pediatrics (Adolescent Medicine)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Social Worker (Clinical)
128 LAKESIDE AVE, STE 260
BURLINGTON, VT 05401
Non-Pharmacy Dispensing Site
128 LAKESIDE AVE, STE 301
BURLINGTON, VT 05401
Nurse Practitioner (Adult Health)
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 (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Registered Nurse
128 LAKESIDE AVE
BURLINGTON, VT 05401
Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790732899, enumerated as an "individual" on May 27, 2006.

The provider is located at 128 LAKESIDE AVE SUITE 115 BURLINGTON, VT 05401 and the phone number is (802) 860-1928.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.