Lisa M Masisak, RN BSN
Individual provider Active NPI Emergency Registered Nurse · Pine Level, NC
NPI 1134095797 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1134095797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 320438 (NC)
- Practice address
- 206 N Capps St
Pine Level, NC 27568-9059 - Phone
- (919) 376-7787
- NPI assigned
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 320438 | NC | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 320438 | NC | Yes |
Addresses
Primary practice location
206 N Capps St
Pine Level, NC 27568-9059
Mailing address
206 N Capps St
Pine Level, NC 27568-9059
Phone (919) 376-7787
Other providers in Pine Level, NC
- Gabrielle Harris
- Johnston County Group Homes, Inc.
- Johnston County Group Homes, Inc.
- Monarch
- Julie Rose
All providers in Pine Level, NC · Emergency Registered Nurse in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.