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

Q: 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.

Q: 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.

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: October 25, 2026.

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

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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

Phone(704) 918-1343

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Lisette Rivero Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monarch

17 mi

Community/Behavioral Health

107 W CEMETERY ST
Salisbury, NC 28144

Reassigned Medicare billing, North Carolina enrollment
260 clinicians in this Medicare group

NPI 1235440587 (704) 636-2900

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

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 16

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

SUZANNE KAROL JONES

Social Worker (Clinical)