LISA MARIE FETTERS NP
NPI 1902277932
Nurse Practitioner in Ann Arbor, MI

Q: What is Lisa Fetters's NPI number?

The NPI number for Lisa Fetters is 1902277932. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Q: What is Lisa Fetters'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 Fetters was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 16, 2015PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2020, Feb 2, 2016 (2 updates tracked since 2016).

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About Lisa Marie Fetters Np NPPES

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

LISA MARIE FETTERS NP (NPI 1902277932) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704181247) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ann Arbor.

NPPES Registry Identity

NPI1902277932

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA MARIE FETTERSCredential: NP

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 936-4000

Sole ProprietorNo

Enumeration DateOctober 16, 2015

Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration

NPPES CertifiedAugust 1, 2023

✔ NPI 1902277932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704181247

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 · Acute CareTaxonomy 363LA2100X · License 4704181247 (MI)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704181247 (MI)

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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Secondary Practice Location 1

Location 14200 Whitehall Dr Ste 150Ann Arbor, MI 48105-9694 · Phone (734) 995-0308 · Fax (734) 995-0425

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Fetters 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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Fetters reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of Michigan

Same address

Nurse Practitioner

1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109

Reassigned Medicare billing, Michigan enrollment
507 clinicians in this Medicare group

NPI 1447275102 (734) 936-4000

Iha Health Services Corporation

2.4 mi

Urgent Care

2090 COMMONWEALTH BLVD, SUITE 100
Ann Arbor, MI 48105

Reassigned Medicare billing, Michigan enrollment
1,480 clinicians in this Medicare group

NPI 1013194307 (734) 995-0308

St Joseph Mercy Hospital

4.2 mi

Internal Medicine

5333 MCAULEY DR, SUITE 4001
Ypsilanti, MI 48197

Reassigned Medicare billing, Michigan enrollment
180 clinicians in this Medicare group

NPI 1548388606 (734) 712-3980

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 48109 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Fetters's NPI number?

The NPI number for Lisa Fetters is 1902277932. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Lisa Fetters located?

Lisa Fetters practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Lisa Fetters's specialty?

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

Is Lisa Fetters enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Fetters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fetters reassigns Medicare benefits to 3 organizations: Regents Of The University Of Michigan (Ann Arbor, MI), Iha Health Services Corporation (Ann Arbor, MI) and St Joseph Mercy Hospital (Ypsilanti, MI). Each 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 Fetters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Fetters accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lisa Fetters 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 Fetters was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.