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LISA PERSAD PHD, PMHNP-BC
NPI 1912241068
Nurse Practitioner - Psychiatric/Mental Health in Far Rockaway, NY

Active since November 15, 2012PECOS Enrolled
120 BEACH 26TH ST APT 1105, FAR ROCKAWAY, NY 11691(347) 809-1764 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2020, Oct 23, 2017, Sep 12, 2017 (3 updates tracked since 2017).

About Lisa Persad Phd, Pmhnp-bc NPPES

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

LISA PERSAD PHD, PMHNP-BC (NPI 1912241068) is an individual psychiatric/mental health provider in Far Rockaway, New York, licensed in New York (F402222) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912241068
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA PERSADCredential: PHD, PMHNP-BC
Location Address120 BEACH 26TH ST APT 1105Far Rockaway, NY 11691-2239
Mailing Address120 Beach 26th St Apt 1105Far Rockaway, NY 11691-2239 · (347) 809-1764
Phone(347) 809-1764
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1912241068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F402222
120 BEACH 26TH ST APT 1105, Far Rockaway, NY 11691
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Persad Phd, Pmhnp-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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Persad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Director Services PC
194 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621

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 11691 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Persad's NPI number?

The NPI number for Lisa Persad is 1912241068. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Lisa Persad located?

Lisa Persad practices at 120 Beach 26th St Apt 1105, Far Rockaway, NY 11691. The listed phone number is (347) 809-1764.

What is Lisa Persad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Persad enrolled in Medicare?

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

Which organization bills Medicare for Lisa Persad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Persad reassigns Medicare benefits to Medical Director Services PC (Princess Anne, MD). 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 Persad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Persad accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Persad 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 Persad was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.