Active NPI
Lisa A Knisley, CRNP
- Adult Health Nurse Practitioner
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP012509
- Practice address
- 1160 Manheim Pike Ste 103
Lancaster, PA 17601-3127 - Phone
- (717) 869-4695
- Fax
- (717) 869-4694
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP012509 | PA | Primary |
Addresses
Primary practice location
1160 Manheim Pike Ste 103
Lancaster, PA 17601-3127
Mailing address
409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lknisley75408@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients | |
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients | |
| Choices Healthcare | Past | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
1000 Haddonfield Berlin Rd
Ste 205
Voorhees, NJ 08043
Phone (973) 241-1356
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1306500764
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1871475806
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
-
- Community Based Hospice Care Agency
- Lancaster, PA
- NPI 1750389193
-
dba PinnacleHealth Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
dba Cape May County Health Department
- Physical Therapy Clinic/Center
- Cape May Court House, NJ
- NPI 1962484659
Home health agency
-
- Community Based Hospice Care Agency
- Hackettstown, NJ
- NPI 1922543388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1114261054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST STE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 MANHEIM PIKE STE 103",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013127",
"telephone_number": "717-869-4695",
"fax_number": "717-869-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNISLEY",
"first_name": "LISA",
"middle_name": "A",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP012509",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lknisley75408@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1160 Manheim Pike Ste 103",
"city": "Lancaster",
"state": "PA",
"country_code": "US",
"postal_code": "176013127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.