LISA COLOMBO
NPI 1952918740
Nurse Practitioner - Acute Care in Detroit, MI

Q: What is Lisa Colombo's NPI number?

The NPI number for Lisa Colombo is 1952918740. It was assigned to this individual provider in the NPPES registry on September 26, 2020.

Q: What is Lisa Colombo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Colombo was last updated on September 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 26, 2020PECOS EnrolledAccepts Medicare Assignment

22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa Colombo NPPES

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

LISA COLOMBO (NPI 1952918740) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704304298) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952918740

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameLISA COLOMBO

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address40537 Irval DrSterling Heights, MI 48313-4025 · (810) 748-7078

Phone(313) 343-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 26, 2020

NPPES CertifiedSeptember 26, 2020

✔ NPI 1952918740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704304298

22101 MOROSS RD, Detroit, MI 48236

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Lisa Colombo 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 ID3577001965

PECOS Enrollment IDI20240816000238

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.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

MARY DECAROLIS LMSW, ACSW

Social Worker (Clinical)