1. Home
  2. Directory
  3. New Jersey
  4. West Long Branch
  5. Nurse Practitioner
  6. NPI Profile

LISA ERTLE APRN
NPI 1891583274
Nurse Practitioner - Family in West Long Branch, NJ

Active since April 28, 2025PECOS EnrolledAccepts Medicare Assignment
103 PARKER RD STE B, WEST LONG BRANCH, NJ 07764(732) 222-0307(732) 222-0394 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Ertle Aprn NPPES

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

LISA ERTLE APRN (NPI 1891583274) is an individual family provider in West Long Branch, New Jersey, licensed in New Jersey (26NJ15263200) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891583274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA ERTLECredential: APRN
Location Address103 PARKER RD STE BWest Long Branch, NJ 07764-1009
Mailing Address687 Ellington RdRidgewood, NJ 07450-5512 · (551) 482-0173
Phone(732) 222-0307
Fax(732) 222-0394
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 28, 2025
Last NPPES UpdateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1891583274 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 NJ · 26NJ15263200
103 PARKER RD STE B, West Long Branch, NJ 07764
Open in Google Maps ↗

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 Ertle Aprn 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 ID8921579228
PECOS Enrollment IDI20260608002856
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 Ertle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prime Endocrinology, LLC
Same address
Primary Care
103 PARKER RD STE B
West Long Branch, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1306312095 (732) 222-0307

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 07764 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

PRIME ENDOCRINOLOGY, LLC
Clinic/Center (Primary Care)
103 PARKER RD STE B
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 222-0307

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 Ertle's NPI number?

The NPI number for Lisa Ertle is 1891583274. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Lisa Ertle located?

Lisa Ertle practices at 103 Parker Rd Ste B, West Long Branch, NJ 07764. The listed phone number is (732) 222-0307.

What is Lisa Ertle's specialty?

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

Is Lisa Ertle enrolled in Medicare?

Yes. Lisa Ertle 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 Ertle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ertle reassigns Medicare benefits to Prime Endocrinology, LLC (West Long Branch, NJ). 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 Ertle'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 Ertle was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.