MRS. LISA JO MATHERSON CRNP
NPI 1922213594
Nurse Practitioner - Gerontology in Havertown, PA

Active since May 14, 2007PECOS Enrolled
2050 OLD WEST CHESTER PIKE, HAVERTOWN, PA 19083(610) 449-8600(610) 449-1302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Lisa Jo Matherson Crnp NPPES

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

MRS. LISA JO MATHERSON CRNP (NPI 1922213594) is an individual gerontology provider in Havertown, Pennsylvania, licensed in Pennsylvania (SPOO3533H) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922213594
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. LISA JO MATHERSONCredential: CRNP
Location Address2050 OLD WEST CHESTER PIKEHavertown, PA 19083-2712
Mailing Address271 Green Hollow RdGlenmoore, PA 19343-1509 · (610) 913-8008 · Fax (610) 913-8007
Fax(610) 449-1302
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922213594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SPOO3533H
2050 OLD WEST CHESTER PIKE, Havertown, PA 19083

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Jo Matherson Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Skilled Nursing Facility
2050 OLD WEST CHESTER PIKE
HAVERTOWN, PA 19083
Skilled Nursing Facility
2050 OLD WEST CHESTER PIKE
HAVERTOWN, PA 19083
Speech-Language Pathologist
2050 OLD WEST CHESTER PIKE
HAVERTOWN, PA 19083
Skilled Nursing Facility
2050 OLD WEST CHESTER PIKE
HAVERTOWN, PA 19083

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 Matherson's NPI number?

The NPI number for Lisa Matherson is 1922213594. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Lisa Matherson located?

Lisa Matherson practices at 2050 Old West Chester Pike, Havertown, PA 19083. The listed phone number is (610) 449-8600.

What is Lisa Matherson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Matherson enrolled in Medicare?

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

What insurance does Lisa Matherson accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Lisa Matherson 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 Matherson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.