Individual provider Active NPI

Lisa A McMahon, FNP-BC

  • Family Nurse Practitioner
  • Bear, DE
National Provider Identifier
1235851643
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012032 Issued in DE
Practice address
148 W Savannah Dr
Bear, DE 19701-1639
Phone
(302) 983-6637
NPI assigned
Sep 13, 2022
Last updated
May 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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 LG-0012032 DE Primary

Addresses

Primary practice location

148 W Savannah Dr
Bear, DE 19701-1639

Mailing address

148 W Savannah Dr
Bear, DE 19701-1639
Phone (302) 983-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20250826001273 MD Practitioner - Nurse Practitioner 2769928696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS Shanahan and Ferguson PCGroup PAC ID 3476445396, 6 clinicians

Practice addresses (Care Compare)

120 Speer Rd
BLDG B
Chestertown, MD 21620-1044
Phone (410) 778-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0012032DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay River Primary Care PC CurrentSince Aug 11, 2025 Accepting new patients
Regional Orthopaedic Associates PA PastSince Jul 15, 2024 Accepting new patients

Locations

120 Speer Rd
Bldg B
Chestertown, MD 21620
Phone (410) 778-9300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1235851643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W SAVANNAH DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011639",
            "telephone_number": "302-983-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W SAVANNAH DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011639",
            "telephone_number": "302-983-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.