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LISA MARIE KING FNP
NPI 1881129369
Nurse Practitioner in Oakland, CA

Active since April 21, 2017PECOS EnrolledAccepts Medicare Assignment
3100 SUMMIT ST FL 2, OAKLAND, CA 94609(510) 869-8865(510) 869-6271 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2021, Apr 21, 2017 (2 updates tracked since 2017).

About Lisa Marie King Fnp NPPES

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

LISA MARIE KING FNP (NPI 1881129369) is an individual nurse practitioner in Oakland, California, licensed in California (95006001) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881129369
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA MARIE KINGCredential: FNP
Location Address3100 SUMMIT ST FL 2Oakland, CA 94609-3412
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 869-8865 · Fax (510) 569-6271
Phone(510) 869-8865
Fax(510) 869-6271
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 21, 2017
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1881129369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95006001
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95006001 (CA)
3100 SUMMIT ST FL 2, Oakland, CA 94609
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 Hawthorne AveOakland, CA 94609-3108 · Phone (510) 869-6883 · Fax (510) 869-6888
Location 21441 N Tracy BlvdTracy, CA 95376-3445 · Phone (209) 835-8910 · Fax (209) 835-7438

Other Identifiers 1

Other95006001CA · State Medical License

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 Marie King Fnp 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 ID8820358237
PECOS Enrollment IDI20180202002149
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
68 services68 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

ELSA PETRONELLA VAN BERRY CRYT, RN, MSN,FNP-BC
Nurse Practitioner (Family)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8865
TRICIA ANNE SMALLWOOD NP
Nurse Practitioner (Gerontology)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-4000
MS. ANDREA MINOR THACH M.D.
Internal Medicine (Hospice and Palliative Medicine)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 204-3410
MATHEW SOMMERS NP
Nurse Practitioner (Primary Care)
3100 SUMMIT ST FL 2
OAKLAND, CA 94609
Alameda County (510) 869-8400

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 King's NPI number?

The NPI number for Lisa King is 1881129369. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Lisa King located?

Lisa King practices at 3100 Summit St Fl 2, Oakland, CA 94609. The listed phone number is (510) 869-8865.

What is Lisa King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa King enrolled in Medicare?

Yes. Lisa King 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.

When was this NPI record last updated?

The NPPES record for Lisa King was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.