Lisa Marie Harrelson, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP026175 Issued in PA

Practice address

4453 Castor Ave Ste B
Philadelphia, PA 19124-3846

Phone

(215) 744-2266

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Nephrology Associates PCGroup PAC ID 3779566732, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.harrelson@metropolitannephrologyassoc.chartmakerdirect.com

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.

• Metropolitan Nephrology Associates, P.C.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1417900630
  Medicare reassignment Care Compare group NPD
• Carbon Drip Social

  • Nurse Practitioner
  • Philadelphia, PA
  • NPI 1508622176
  NPD Authorized official
• Flourish Psychiatry & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1114740982
  NPD Authorized official
• Metropolitan Nephrology Associates, PC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1043758790
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1013636729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 CASTOR AVE STE B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243846",
            "telephone_number": "215-744-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Harr, LCSW
• Candace Elizabeth Harrell
• Cynthia Harrell, M.D.
• Ellen Harrell
• Hannah Harrell, DO
• Alexandra Lynn Harrer, CCC-SLP
• Harriets Innerwear
• Quinn Catherine Harrigan, MD
• Richard Allen Harrigan, MD
• Deionte Taun Harrilla-Gray, PA-C

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.