LISETTE RIVERO WILLIAMS
NPI 1992300594
Nurse Practitioner - Psychiatric/Mental Health in Concord, NC

Active since December 01, 2020PECOS EnrolledAccepts Medicare Assignment
2324 CONCORD LAKE RD, CONCORD, NC 28025(704) 918-1343(704) 461-4334 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Dec 2, 2020 (2 updates tracked since 2020).

About Lisette Rivero Williams NPPES

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

LISETTE RIVERO WILLIAMS (NPI 1992300594) is an individual psychiatric/mental health provider in Concord, North Carolina, licensed in North Carolina (5013838) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992300594
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISETTE RIVERO WILLIAMS
Location Address2324 CONCORD LAKE RDConcord, NC 28025-2814
Mailing Address350 Pee Dee Ave Ste 101Albemarle, NC 28001-4945 · (866) 272-7826
Fax(704) 461-4334
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 1, 2020
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
NPI 1992300594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 5013838
2324 CONCORD LAKE RD, Concord, NC 28025

Secondary Practice Location 1

Location 1201 N Eugene StGreensboro, NC 27401-2221 · Phone (866) 272-7826

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 and accepts Medicare assignment

Lisette Rivero Williams 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 ID7012321920
PECOS Enrollment IDI20210203002314
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 17

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

Psychologist
2324 CONCORD LAKE RD
CONCORD, NC 28025
Social Worker (Clinical)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Counselor (Professional)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Counselor (Professional)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Nurse Practitioner (Psychiatric/Mental Health)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Social Worker (Clinical)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Counselor (Professional)
2324 CONCORD LAKE RD
CONCORD, NC 28025
Counselor (Professional)
2324 CONCORD LAKE RD
CONCORD, NC 28025

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 Lisette Rivero Williams's NPI number?

The NPI number for Lisette Rivero Williams is 1992300594. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Lisette Rivero Williams located?

Lisette Rivero Williams practices at 2324 Concord Lake Rd, Concord, NC 28025. The listed phone number is (704) 918-1343.

What is Lisette Rivero Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisette Rivero Williams enrolled in Medicare?

Yes. Lisette Rivero Williams 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.

What insurance does Lisette Rivero Williams accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Lisette Rivero Williams 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 Lisette Rivero Williams was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.