LISA IPPOLITO FNP
NPI 1922523034
Nurse Practitioner - Family in Modesto, CA
About Lisa Ippolito Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA IPPOLITO FNP (NPI 1922523034) is an individual family provider in Modesto, California, licensed in California (95006906) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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 Ippolito Fnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Ippolito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1548216260 (California)
- 2,323 clinicians in this Medicare group
Modesto, CA 95350
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95350 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MODESTO, CA 95350
MODESTO, CA 95350
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 Ippolito's NPI number?
The NPI number for Lisa Ippolito is 1922523034. It was assigned to this individual provider in the NPPES registry on August 9, 2017.
Where is Lisa Ippolito located?
Lisa Ippolito practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 578-1211.
What is Lisa Ippolito's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Ippolito enrolled in Medicare?
Yes. Lisa Ippolito 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 organizations bill Medicare for Lisa Ippolito's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ippolito reassigns Medicare benefits to 2 organizations: Cep America - California (Modesto, CA) and Golden Valley Health Center (Modesto, CA). 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 Ippolito'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 Ippolito was last updated on August 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Lisa Ippolito, FNP · NPI 1922523034
Family physician in Modesto, California. Individual provider, active in the CMS NPPES registry since August 9, 2017.
## Identity
- **NPI:** 1922523034 (Entity type: Individual)
- **Enumerated:** August 9, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006906 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 FLORIDA AVE, Modesto, CA 95350-4404
- **Phone:** (209) 578-1211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1639124167, Modesto, CA); Golden Valley Health Center (NPI 1518298306, Modesto, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 9, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1922523034) · Data from the CMS NPPES public registry.