LISA SPEARS
NPI 1821822511
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Q: What is Lisa Spears's NPI number?

The NPI number for Lisa Spears is 1821822511. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Lisa Spears's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Spears was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 27, 2024PECOS EnrolledAccepts Medicare Assignment

6326 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 515-3275 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa Spears NPPES

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

LISA SPEARS (NPI 1821822511) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (71015758A) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821822511

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA SPEARS

Location Address6326 CONSTITUTION DRFort Wayne, IN 46804-1518

Mailing Address429 E Dupont Rd # 1103Fort Wayne, IN 46825-2051

Phone(260) 515-3275

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 27, 2024

Last NPPES UpdateSeptember 16, 2024

NPPES CertifiedSeptember 16, 2024

✔ NPI 1821822511 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 IN · 71015758A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28248812C (IN)

6326 CONSTITUTION DR, Fort Wayne, IN 46804

Open in Google Maps ↗

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 Spears 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 ID143757609

PECOS Enrollment IDI20241220003584

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

MELISA KAYE RENNER APRN, MSN, FNP-C

Nurse Practitioner (Family)