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

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: October 18, 2026.

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
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

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 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Spears reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Family
6326 CONSTITUTION DR
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 30 clinicians in this Medicare group

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

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.

Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Primary Care)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Social Worker (Clinical)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Psychiatric/Mental Health)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Adult Health)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804
Nurse Practitioner (Family)
6326 CONSTITUTION DR
FORT WAYNE, IN 46804

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 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.

Where is Lisa Spears located?

Lisa Spears practices at 6326 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 515-3275.

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.

Is Lisa Spears enrolled in Medicare?

Yes. Lisa Spears 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 organization bills Medicare for Lisa Spears's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Spears reassigns Medicare benefits to Rounding Providers (Fort Wayne, IN). The 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 Spears's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.