LISA BEAGLE PNP
NPI 1942788716
Nurse Practitioner - Pediatrics in Pulaski, NY

Q: What is Lisa Beagle's NPI number?

The NPI number for Lisa Beagle is 1942788716. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Q: What is Lisa Beagle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Beagle was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 August 02, 2018PECOS Enrolled

61 DELANO ST, PULASKI, NY 13142(315) 298-6564(315) 298-3968 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Aug 5, 2021, Aug 2, 2018 (3 updates tracked since 2018).

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About Lisa Beagle Pnp NPPES

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

LISA BEAGLE PNP (NPI 1942788716) is an individual pediatrics provider in Pulaski, New York, licensed in New York (383250) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1942788716

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLISA BEAGLECredential: PNP

Location Address61 DELANO STPulaski, NY 13142-1400

Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6569

Phone(315) 298-6564

Fax(315) 298-3968

Sole ProprietorYes

Enumeration DateAugust 2, 2018

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1942788716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 383250

Also ListedRegistered NurseTaxonomy 163W00000X · License 681608-1 (NY)

61 DELANO ST, Pulaski, NY 13142

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Secondary Practice Locations 5

Location 13045 East Ave Ste G400Central Square, NY 13036-2611 · Phone (315) 675-9200 · Fax (315) 630-3168

Location 25856 Scenic AveMexico, NY 13114-3012 · Phone (315) 963-4133 · Fax (315) 963-4960

Location 3510 S 4th St Ste 600Fulton, NY 13069-2952 · Phone (315) 598-4790 · Fax (315) 593-6195

Location 4120 E 1st StOswego, NY 13126-2111 · Phone (315) 342-0880 · Fax (315) 593-6195

Location 57 Bridge StPhoenix, NY 13135-1906 · Phone (315) 695-4700 · Fax (315) 695-4960

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Beagle Pnp 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 Beagle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Oswego County Health Services, Inc.

Same address

Community Health

61 DELANO ST
Pulaski, NY 13142

Reassigned Medicare billing, New York enrollment
53 clinicians in this Medicare group

NPI 1508850280 (315) 298-6569

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 13142 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

CAITLIN TAYLOR CORRICE PT

Physical Therapist (Orthopedic)