LISA MADALA NP
NPI 1841203692
Nurse Practitioner in Fresno, CA

Q: What is Lisa Madala's NPI number?

The NPI number for Lisa Madala is 1841203692. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Lisa Madala'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 Madala was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 14, 2006PECOS Enrolled

1630 E HERNDON AVE, FRESNO, CA 93720(559) 256-5200(559) 256-5376 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lisa Madala Np NPPES

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

LISA MADALA NP (NPI 1841203692) is an individual nurse practitioner in Fresno, California, licensed in California (NP15802) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841203692

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA MADALACredential: NP

Location Address1630 E HERNDON AVEFresno, CA 93720-3305

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (559) 256-5200 · Fax (559) 256-5376

Phone(559) 256-5200

Fax(559) 256-5376

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1841203692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP15802

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.

1630 E HERNDON AVE, Fresno, CA 93720

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Other Identifiers 2

Other499652CA · Rn License

Other15802Nurse Practitioner Furnishing License

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 Madala Np 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 93720 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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