Individual provider Active NPI

Lisa G Preller, RNC-OB, CNM, MSN

  • Midwife
  • Delmar, NY
National Provider Identifier
1013240290
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F001346-1 Issued in NY
Practice address
2 Normanskill Blvd Ste 206
Delmar, NY 12054-1331
Phone
(518) 250-9195
Fax
(518) 734-0087
NPI assigned
Sep 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X F001346-1 NY Primary

Addresses

Primary practice location

2 Normanskill Blvd Ste 206
Delmar, NY 12054-1331

Mailing address

2 Normanskill Blvd Ste 206
Delmar, NY 12054-1331
Phone (518) 250-9195

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 23, 2025 through Dec 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
F001346-1NYMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Southern Finger Lakes Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisaprellercnm@empoweredmidwiferycare.medentdirect.com
  • Direct secure messaging: lpreller788692@direct.trinity-health.org
  • FHIR API: https://api.qualifacts.org/api/fhir/ctrenaissance/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1013240290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORMANSKILL BLVD STE 206",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541331",
            "telephone_number": "518-250-9195",
            "fax_number": "518-734-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 NORMANSKILL BLVD STE 206",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541331",
            "telephone_number": "518-250-9195",
            "fax_number": "518-734-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRELLER",
        "first_name": "LISA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "RNC-OB, CNM, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001346-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.