NPIMap

Individual provider Active NPI

Lisa Renee Chastant, M.D.

  • MOHS-Micrographic Surgery Physician
  • Easton, PA
National Provider Identifier
1144545195
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD488857C Issued in PA
Practice address
1600 St Lukes Blvd Ste 102
Easton, PA 18045-5671
Phone
(484) 503-7546
Fax
(484) 503-7547
NPI assigned
Apr 1, 2010
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3284-20 WI
Dermatology Physician 207N00000X 26245 MS
Dermatology Physician 207N00000X 19930 ND
MOHS-Micrographic Surgery Physician 207ND0101X MD488857C PA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 26245 MS
Aerospace Medicine Physician 2083A0100X C1-0009800 DE
General Practice Physician 208D00000X C1-0009800 DE

Addresses

Primary practice location

1600 St Lukes Blvd Ste 102
Easton, PA 18045-5671

Mailing address

419 Russell Ave
Ocean Springs, MS 39564-4727

Other practice location 1

2550 Pass Rd # G
Biloxi, MS 39531-2726
Phone (228) 207-5140

Other practice location 2

1009 Tommy Munro Dr Ste A
Biloxi, MS 39532-2100
Phone (228) 232-0872

Other identifiers 1

IdentifierTypeStateIssuer
1144545195MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address lchastant491069@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AL, WI, MS, PA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20230724000834 ND Practitioner - Dermatology 8820233794 Reassigns benefits to 2 organizations
I20230921000179 AL Practitioner - Dermatology 8820233794 Reassigns benefits to 1 organization
I20231003003339 WI Practitioner - Dermatology 8820233794 Reassigns benefits to 1 organization
I20250224000048 MS Practitioner - Dermatology 8820233794 Reassigns benefits to 2 organizations
I20250401001687 PA Practitioner - Dermatology 8820233794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2830 N Washington St
Bismarck, ND 58503-1482
Phone (701) 323-6400

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

4656 40TH Ave S
Fargo, ND 58104-4397

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin cancer376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3284-20WIMDDermatology Physician
26245MSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc Dermatology CurrentSince Sep 20, 2023 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 8, 2025 Accepting new patients
David B Roy DO PA Mohs-Micrographic Surgery CurrentSince Jan 1, 2025 Accepting new patients
Dean Health Systems, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Aqua Dermatology of Alabama PC Dermatology CurrentSince Jul 24, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Aug 8, 2025 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 17, 2025 Accepting new patients
Sanford Bismarck CurrentSince Jun 19, 2023 Accepting new patients
Sanford Bismarck CurrentSince Jun 19, 2023 Accepting new patients
North Georgia Dermatology, P.C. Dermatology PastSince Aug 1, 2012 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

70 Midtown Park E
Mobile, AL 36606
Phone (251) 289-1786

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1009 Tommy Munro Dr
#A
Biloxi, MS 39532
Phone (228) 232-0872

102 E Hospital Dr
Hattiesburg, MS 39402
Phone (601) 268-5144

201 S Main St
Petal, MS 39465
Phone (601) 336-5626

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1600 St Lukes Blvd
Ste 102
Easton, PA 18045
Phone (484) 503-6647

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: lchastant491069@direct-ehr-ssmhc.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1144545195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 RUSSELL AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD STE 102",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-7546",
            "fax_number": "484-503-7547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Pass Rd # G",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395312726",
            "country_code": "US",
            "telephone_number": "228-207-5140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Tommy Munro Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395322100",
            "country_code": "US",
            "telephone_number": "228-232-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASTANT",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "3284-20",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "26245",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ND",
            "license": "19930",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD488857C",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MS",
            "license": "26245",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "DE",
            "license": "C1-0009800",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0009800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144545195",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1821 S Stoughton Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537162257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchastant491069@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lchastant491069@direct-ehr-ssmhc.com",
            "address_1": "1821 S Stoughton Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537162257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.