Active NPI
Lisa B Nelson, MD
- Family Medicine Physician
- Great Barrington, MA
National Provider Identifier
1124067111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 226313
- Practice address
- 168 Main Street
Suite 3
Great Barrington, MA 01230 - Phone
- (413) 446-1850
- Fax
- (833) 760-4105
- NPI assigned
- Jun 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 226313 | MA | Primary |
Addresses
Primary practice location
168 Main Street
Suite 3
Great Barrington, MA 01230
Mailing address
168 Main Street
Suite 3
Great Barrington, MA 01230
Phone (413) 446-1850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111306 | Medicaid | MA | |
| 110041694A | Medicaid | MA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Massachusetts Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Programs Inc
Practice addresses (Care Compare)
444 Stockbridge Rd
Great Barrington, MA 01230-1295
Phone (413) 528-8580
510 N St
Pittsfield, MA 01201-5493
Phone (413) 447-2351
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lisa.nelson.1@33850.direct.athenahealth.com
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
-
- Home Health Agency
- Agawam, MA
- NPI 1770537847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1124067111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 MAIN STREET",
"address_2": "SUITE 3",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "01230",
"telephone_number": "413-446-1850",
"fax_number": "833-760-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 MAIN STREET",
"address_2": "SUITE 3",
"city": "GREAT BARRINGTON",
"state": "MA",
"postal_code": "01230",
"telephone_number": "413-446-1850",
"fax_number": "833-760-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LISA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "226313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111306",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041694A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Barrington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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; Opt Out Affidavits.
- 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.