LISA MARIE WHITE NP
NPI 1962799395
Nurse Practitioner - Acute Care in Indianapolis, IN

Active since July 06, 2011PECOS Enrolled
7979 N SHADELAND AVE STE 310, INDIANAPOLIS, IN 46250(317) 621-3891(317) 621-3893 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2017, May 31, 2017, Apr 17, 2017 (3 updates tracked since 2017).

About Lisa Marie White Np NPPES

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

LISA MARIE WHITE NP (NPI 1962799395) is an individual acute care provider in Indianapolis, Indiana, licensed in Indiana (71003733A) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962799395
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA MARIE WHITECredential: NP
Location Address7979 N SHADELAND AVE STE 310Indianapolis, IN 46250-2042
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Fax(317) 621-3893
Sole ProprietorNo
Enumeration DateJuly 6, 2011
Last NPPES UpdateApril 14, 20253 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1962799395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IN · 71003733A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28185844A (IN)
7979 N SHADELAND AVE STE 310, Indianapolis, IN 46250

Other Names 1

Former Name (1)Lisa Marie Kates Rn

Other Identifiers 2

OtherP01824831IN · Rr Medicare
Medicaid201108780IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie White Np 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 White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46250 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier23 claims2,400 services$2.41 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.56 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers21 claims21 services$30.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Physician Assistant
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Speech-Language Pathologist
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Nurse Practitioner
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Surgery (Surgical Oncology)
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Physician Assistant
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Physician Assistant
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250
Physician Assistant
7979 N SHADELAND AVE STE 310
INDIANAPOLIS, IN 46250

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 White's NPI number?

The NPI number for Lisa White is 1962799395. It was assigned to this individual provider in the NPPES registry on July 6, 2011. The provider is also known as Lisa Marie Kates Rn.

Where is Lisa White located?

Lisa White practices at 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250. The listed phone number is (317) 621-3891.

What is Lisa White's specialty?

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

Is Lisa White enrolled in Medicare?

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

Which organization bills Medicare for Lisa White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa White reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). 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 White'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 White was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.