LISA ANNE YOUNGBLOOD RN NP
NPI 1801843941
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
1055 WILSHIRE BLVD STE 1705, LOS ANGELES, CA 90017(310) 871-0670(619) 667-0815 Get Directions Write a Review

NPPES record last updated: February 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2023, Mar 11, 2021 (2 updates tracked since 2021).

About Lisa Anne Youngblood Rn Np NPPES

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

LISA ANNE YOUNGBLOOD RN NP (NPI 1801843941) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in Florida (11011940) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mill Valley, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801843941
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA ANNE YOUNGBLOODCredential: RN NP
Location Address1055 WILSHIRE BLVD STE 1705Los Angeles, CA 90017-5600
Mailing Address103 Half Moon Cir Apt C2Hypoluxo, FL 33462-5494 · (515) 381-8825
Fax(619) 667-0815
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 3, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2023
NPI 1801843941 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
Licenses Licensed in FL · 11011940 Licensed in CA · NP11105
Also ListedRegistered NurseTaxonomy 163W00000X · License RN481125 (CA)
1055 WILSHIRE BLVD STE 1705, Los Angeles, CA 90017

Other Names 1

Former Name (1)Lisa Anne Catarevas

Secondary Practice Location 1

Location 1655 Redwood Hwy Frontage RdMill Valley, CA 94941-3034 · Phone (866) 247-4292

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Anne Youngblood Rn Np 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 ID1658384680
PECOS Enrollment IDI20060717000169
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90017 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1055 WILSHIRE BLVD STE 1705
LOS ANGELES, CA 90017

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 Youngblood's NPI number?

The NPI number for Lisa Youngblood is 1801843941. It was assigned to this individual provider in the NPPES registry on May 27, 2006. The provider is also known as Lisa Anne Catarevas.

Where is Lisa Youngblood located?

Lisa Youngblood practices at 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017. The listed phone number is (310) 871-0670.

What is Lisa Youngblood's specialty?

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

Is Lisa Youngblood enrolled in Medicare?

Yes. Lisa Youngblood 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.

What insurance does Lisa Youngblood accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Lisa Youngblood 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 Youngblood was last updated on February 3, 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.