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MS. LISA L. WALTER PAC
NPI 1912024837
Physician Assistant - Surgical in Flint, MI

Active since March 24, 2007PECOS EnrolledAccepts Medicare Assignment
1 HURLEY PLZ, FLINT, MI 48503(810) 257-9191(810) 257-9187 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa L. Walter Pac NPPES

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

MS. LISA L. WALTER PAC (NPI 1912024837) is an individual surgical provider in Flint, Michigan, licensed in Michigan (5601004548) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912024837
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. LISA L. WALTERCredential: PAC
Location Address1 HURLEY PLZFlint, MI 48503-5902
Mailing Address1 Hurley Plz, 5th Floor S.o.n.Flint, MI 48503-5902 · (810) 762-7038 · Fax (810) 760-0440
Phone(810) 257-9191
Fax(810) 257-9187
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 24, 2007
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1912024837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601004548
1 HURLEY PLZ, Flint, MI 48503
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa L Jasnon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

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

Ms. Lisa L. Walter Pac 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 ID3274556030
PECOS Enrollment IDI20060106000512
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

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.

DR. RYAN J. REECE M.D.
Emergency Medicine
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9854
LAUREN NEMETZ M.A., CCC-SLP
Speech-Language Pathologist
1 HURLEY PLZ, 6E REHABILITATION- SPEECH THERAPY
FLINT, MI 48503
Genesee County (810) 262-7279
KERRY KATHLEEN DYER
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-6878
ANGELI V MANTOS
Physical Therapist
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-2441
DR. ADENIKE FATIREGUN MD
Student in an Organized Health Care Education/Training Program
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000
ALEESHA KILBREATH PA-C
Physician Assistant (Surgical)
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 762-7038
GABRIEL MULLINS CRNA
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (517) 740-8810
FRANCIS C WELLS PA-C
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Genesee County (810) 262-9000

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 Walter's NPI number?

The NPI number for Lisa Walter is 1912024837. It was assigned to this individual provider in the NPPES registry on March 24, 2007. The provider is also known as Lisa L Jasnon.

Where is Lisa Walter located?

Lisa Walter practices at 1 Hurley Plz, Flint, MI 48503. The listed phone number is (810) 257-9191.

What is Lisa Walter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lisa Walter enrolled in Medicare?

Yes. Lisa Walter 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.

What insurance does Lisa Walter accept?

Health plans from McLaren Health Plan Community and Priority Health list Lisa Walter 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.

Is Lisa Walter affiliated with any hospitals?

According to CMS data, Lisa Walter is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Walter was last updated on June 14, 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.