MRS. LISA MICHELLE WERTZ FNP-BC
NPI 1861065302
Nurse Practitioner - Family in Longview, TX

Q: What is Lisa Wertz's NPI number?

The NPI number for Lisa Wertz is 1861065302. It was assigned to this individual provider in the NPPES registry on July 22, 2021. The provider is also known as Mrs. Lisa Michelle Wertz Fnp-Bc.

Q: What is Lisa Wertz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wertz was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 22, 2021PECOS Enrolled

2 DOCTOR CIR, LONGVIEW, TX 75605(190) 375-3232(903) 234-2979 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2022, Jul 22, 2021 (2 updates tracked since 2021).

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About Mrs. Lisa Michelle Wertz Fnp-bc NPPES

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

MRS. LISA MICHELLE WERTZ FNP-BC (NPI 1861065302) is an individual family provider in Longview, Texas, licensed in Texas (1050088) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861065302

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA MICHELLE WERTZCredential: FNP-BC

Location Address2 DOCTOR CIRLongview, TX 75605-5050

Mailing Address2 Doctor CirLongview, TX 75605-5050 · (190) 375-3232 · Fax (903) 234-2979

Phone(190) 375-3232

Fax(903) 234-2979

Sole ProprietorNo

Enumeration DateJuly 22, 2021

Last NPPES UpdateMay 24, 20222 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1861065302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1050088

2 DOCTOR CIR, Longview, TX 75605

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Other Names 1

Professional Name (2)Mrs. Lisa Michelle Wertz Fnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Michelle Wertz Fnp-bc 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 75605 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

1 supplier23 claims23 services$761.06 avg. paid by Medicare

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851

DME-Orthotic Devices · category DF011N

1 supplier12 claims12 services$567.78 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$91.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

JORDAN B. RICHARDSON FNP-C

Nurse Practitioner (Family)