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LISA KIERNAN
NPI 1992509244
Nurse Practitioner in Bonaire, GA

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
119 GOLDEN POND BLVD, BONAIRE, GA 31005(478) 258-6636(478) 258-6636 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2025, Apr 3, 2025 (2 updates tracked since 2025).

About Lisa Kiernan NPPES

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

LISA KIERNAN (NPI 1992509244) is an individual nurse practitioner in Bonaire, Georgia, licensed in Georgia (RN258735) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992509244
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA KIERNAN
Location Address119 GOLDEN POND BLVDBonaire, GA 31005-4427
Mailing Address119 Golden Pond BlvdBonaire, GA 31005-4427 · (478) 258-6636 · Fax (478) 258-6636
Phone(478) 258-6636
Fax(478) 258-6636
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 3, 2025
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1992509244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN258735
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedEmergency MedicineTaxonomy 207P00000X · License RN258735 (GA)
119 GOLDEN POND BLVD, Bonaire, GA 31005
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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

Lisa Kiernan 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 ID4587179023
PECOS Enrollment IDI20250714004228
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 Kiernan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Houston County Emergency Group, LLC
4.4 mi
Emergency Medicine
1601 WATSON BLVD
Warner Robins, GA 31093
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1013338193 (478) 922-4281

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31005 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Kiernan's NPI number?

The NPI number for Lisa Kiernan is 1992509244. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Lisa Kiernan located?

Lisa Kiernan practices at 119 Golden Pond Blvd, Bonaire, GA 31005. The listed phone number is (478) 258-6636.

What is Lisa Kiernan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Kiernan enrolled in Medicare?

Yes. Lisa Kiernan 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.

Which organization bills Medicare for Lisa Kiernan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kiernan reassigns Medicare benefits to Houston County Emergency Group, LLC (Warner Robins, GA). 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 Kiernan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Kiernan affiliated with any hospitals?

According to CMS data, Lisa Kiernan is affiliated with Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Lisa Kiernan was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.