LISA ANN ANTONCZAK APRN
NPI 1801363411
Nurse Practitioner in Boynton Beach, FL

Q: What is Lisa Antonczak's NPI number?

The NPI number for Lisa Antonczak is 1801363411. It was assigned to this individual provider in the NPPES registry on November 1, 2018. The provider is also known as Lisa Ann Thumm Rn.

Q: What is Lisa Antonczak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Antonczak was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 01, 2018PECOS EnrolledAccepts Medicare Assignment

23 PEPPERWOOD CT, BOYNTON BEACH, FL 33426(330) 717-4013 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2023, Nov 1, 2018 (2 updates tracked since 2018).

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About Lisa Ann Antonczak Aprn NPPES

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

LISA ANN ANTONCZAK APRN (NPI 1801363411) is an individual nurse practitioner in Boynton Beach, Florida, licensed in Florida (APRN11000002) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801363411

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA ANN ANTONCZAKCredential: APRN

Location Address23 PEPPERWOOD CTBoynton Beach, FL 33426-9351

Mailing Address23 Pepperwood CtBoynton Beach, FL 33426-9351 · (330) 717-4013

Phone(330) 717-4013

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 1, 2018

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1801363411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11000002

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1000002 (FL)

23 PEPPERWOOD CT, Boynton Beach, FL 33426

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Other Names 1

Former Name (1)Lisa Ann Thumm Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Ann Antonczak Aprn 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 ID8123456902

PECOS Enrollment IDI20200309001953

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

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

Clearly Derm, LLC

1.8 mi

Specialist

1760 N CONGRESS AVE, SUITE 200
Boynton Beach, FL 33426

Reassigned Medicare billing, Florida enrollment
24 clinicians in this Medicare group

NPI 1487947008 (561) 739-9595

Schweiger Dermatology Group PA

190 mi

Dermatology

1132 E NORTH BLVD
Leesburg, FL 34748

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1598843914 (352) 365-6650

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 Antonczak's NPI number?

The NPI number for Lisa Antonczak is 1801363411. It was assigned to this individual provider in the NPPES registry on November 1, 2018. The provider is also known as Lisa Ann Thumm Rn.

Where is Lisa Antonczak located?

Lisa Antonczak practices at 23 Pepperwood Ct, Boynton Beach, FL 33426. The listed phone number is (330) 717-4013.

What is Lisa Antonczak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Antonczak enrolled in Medicare?

Yes. Lisa Antonczak 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 Antonczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Antonczak reassigns Medicare benefits to 2 organizations: Clearly Derm, LLC (Boynton Beach, FL) and Schweiger Dermatology Group PA (Leesburg, 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 Antonczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Antonczak accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Lisa Antonczak 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 Lisa Antonczak was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.