Active NPI
Lisa S. Williams, PA-C
- Physician Assistant
- Trumansburg, NY
National Provider Identifier
1013979632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051580
- Practice address
- 9586 Ny Route 96
Trumansburg, NY 14886 - Phone
- (570) 269-1223
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051580 | PA | Primary |
Addresses
Primary practice location
9586 Ny Route 96
Trumansburg, NY 14886
Mailing address
9586 Ny Route 96
Trumansburg, NY 14886
Phone (570) 269-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024426 | NY | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Nes Medical Services of New York PC | Current | Accepting new patients | |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Physician Assistant | Current | Accepting new patients |
| Schuyler Hospital Inc | Current | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Current | Accepting new patients |
| Nes Medical Services of New York PC | Current | Accepting new patients | |
| Pocono Emergency Physicians, P.C. | Past | Accepting new patients |
Locations
7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500
220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
Interoperability endpoints
- lwilliams27474@direct.xtensys.com
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Bath, NY
- NPI 1215455191
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
-
- Internal Medicine Physician
- Montour Falls, NY
- NPI 1760582142
-
- Emergency Medicine Physician
- Ithaca, NY
- NPI 1962985564
-
- Emergency Medicine Physician
- Elmira, NY
- NPI 1831742816
-
- Medicare Defined Swing Bed Hospital Unit
- Montour Falls, NY
- NPI 1740364181
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
- Emergency Medicine Physician
- East Stroudsburg, PA
- NPI 1700832151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1013979632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9586 NY ROUTE 96",
"city": "TRUMANSBURG",
"state": "NY",
"postal_code": "14886",
"telephone_number": "570-269-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9586 NY ROUTE 96",
"city": "TRUMANSBURG",
"state": "NY",
"postal_code": "14886",
"telephone_number": "570-269-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LISA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2024-09-12",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumansburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.