Lisa M Ewan, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00365500 Issued in NJ

Practice address

875 Kings Hwy Ste 100
West Deptford, NJ 08096-3165

Phone

(856) 251-0500

NPI assigned

Feb 3, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarity Psychiatric CareGroup PAC ID 2365836020, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4
• Direct secure messaging: lisa.ewan.p1@direct.cfg.nextgenshare.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.

• Clarity Psychiatric Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Cherry Hill, NJ
  • NPI 1932762002

  NJ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Healthcare Commons, Inc.

  • Community/Behavioral Health Agency
  • Carneys Point, NJ
  • NPI 1831264019

  NJ

  Medicare reassignment NPD
• Insite Medical NJ PA

  • Behavioral Neurology & Neuropsychiatry Physician
  • Marlton, NJ
  • NPI 1538807011

  NJ, Psychiatric/Mental Health

  Medicare reassignment NPD
• Healthcare Commons, Inc.

  • Community/Behavioral Health Agency
  • Carneys Point, NJ
  • NPI 1942729637
  NPD
• Insite Medical NJ PA

  • Adolescent and Children Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1518716570
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1093087249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N BROAD ST",
            "address_2": "SUITE 301",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964635",
            "telephone_number": "856-251-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 KINGS HWY STE 100",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963165",
            "telephone_number": "856-251-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 N Broad St",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080964635",
            "country_code": "US",
            "telephone_number": "856-251-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWAN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NJ00365500",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00365500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@cfgpc.com",
            "affiliation": "N",
            "address_1": "875 Kings Hwy Ste 100",
            "city": "West Deptford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080963165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doctor Physical Therapy II, LLC
• Lisa Dunn, MS
• Houda Elbaroudi
• Julisa Espinal
• Evan D. O'Brien, M.D., P.C
• Gabrielle Fallon, MS, LAT, ATC
• Alexis Kimberly Farrell
• Heather Ferreira
• Juliarose Fodali, LPC
• Marie Fredrikis

• Psychiatric/Mental Health Nurse Practitioner in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.