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LISA M WIEDEL MD
NPI 1831166966
Obstetrics & Gynecology in Saint Johns, FL

Active since March 08, 2006PECOS Enrolled
95.73/100
CMS Quality Rating
450 STATE ROAD 13, STE 106-128, SAINT JOHNS, FL 32259(904) 616-8410 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Wiedel Md NPPES

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

LISA M WIEDEL MD (NPI 1831166966) is an individual obstetrics & gynecology provider in Saint Johns, Florida, licensed in Florida (ME110534) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831166966
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA M WIEDELCredential: MD
Location Address450 STATE ROAD 13, STE 106-128Saint Johns, FL 32259-3860
Mailing Address450 State Road 13, Ste 106-128Saint Johns, FL 32259-3860
Phone(904) 616-8410
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 7, 2013
✔ NPI 1831166966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME110534✔ Licensed in OK · 21690
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
450 STATE ROAD 13, Saint Johns, FL 32259
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Wiedel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32259 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.39
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

AKEL MANAGEMENT LLC
Optometrist
450 STATE ROAD 13, SUITE 107
SAINT JOHNS, FL 32259
St. Johns County (904) 287-3678
MRS. MARY ELIZABETH POLLICK RPH
Pharmacist
450 STATE ROAD 13
SAINT JOHNS, FL 32259
St. Johns County (904) 230-3207
DR. HARRY DAVID WEINSTEIN OD
Optometrist
450 STATE ROAD 13
SAINT JOHNS, FL 32259
St. Johns County (904) 287-3678
MR. JAMES P ROSS RPH
Pharmacist
450 STATE ROAD 13
SAINT JOHNS, FL 32259
St. Johns County (904) 230-3207
PUBLIX SUPER MARKETS INC
Pharmacy (Community/Retail Pharmacy)
450 STATE ROAD 13
JACKSONVILLE, FL 32259
St. Johns County (904) 230-3207
MYEYEDR. OPTOMETRY OF FLORIDA, LLC
Optometrist
450 STATE ROAD 13, 107
SAINT JOHNS, FL 32259
St. Johns County (904) 287-3678

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 Wiedel's NPI number?

The NPI number for Lisa Wiedel is 1831166966. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Lisa Wiedel located?

Lisa Wiedel practices at 450 State Road 13 Ste 106-128, Saint Johns, FL 32259. The listed phone number is (904) 616-8410.

What is Lisa Wiedel's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Wiedel enrolled in Medicare?

Yes. Lisa Wiedel is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Wiedel accept?

Health plans from AmeriHealth Caritas Next, BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 2 other insurers list Lisa Wiedel 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 Wiedel was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.