Individual provider Active NPI

Lisa Schneider

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1194334953
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008209 Issued in FL
Practice address
1840 Forest Hill Blvd Ste 201
West Palm Beach, FL 33406-6059
Phone
(561) 337-4033
Fax
(567) 337-4080
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11008209 FL Primary

Addresses

Primary practice location

1840 Forest Hill Blvd Ste 201
West Palm Beach, FL 33406-6059

Mailing address

1420 Alpha CT N
West Palm Beach, FL 33406-6805
Phone (561) 339-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20221110003272 FL Practitioner - Nurse Practitioner 9638546211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providers Health Alliance, LLCGroup PAC ID 9739462813, 15 clinicians

Practice addresses (Care Compare)

1840 Forest Hill Blvd
Suite 201
Lake Clarke Shores, FL 33406-6059
Phone (561) 337-4033

Hospital & facility affiliations

  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providers Health Alliance, LLC CurrentSince Dec 10, 2022 Accepting new patients
Bethesda Health Physician Group, Inc. PastSince Oct 12, 2016 Accepting new patients

Locations

11327 Okeechobee Blvd
Ste 23
Royal Palm Beach, FL 33411
Phone (561) 340-1615

11924 Forest Hill Blvd
Ste 10A138
Wellington, FL 33414

1840 Forest Hill Blvd
Ste 201
West Palm Beach, FL 33406
Phone (561) 337-4033

Interoperability endpoints

  • Direct secure messaging: lisa.schneider.1@20004.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194334953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ALPHA CT N",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066805",
            "telephone_number": "561-339-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 FOREST HILL BLVD STE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066059",
            "telephone_number": "561-337-4033",
            "fax_number": "567-337-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.