Active NPI
Lisa Ann Dejesus, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 931734
- Practice address
- 6000 S Staples St Ste 406
Corpus Christi, TX 78413-2952 - Phone
- (361) 444-5255
- Fax
- (361) 998-9698
- NPI assigned
- Mar 21, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 931734 | TX | Primary |
Addresses
Primary practice location
6000 S Staples St Ste 406
Corpus Christi, TX 78413-2952
Mailing address
6000 S Staples St Ste 406
Corpus Christi, TX 78413-2952
Phone (361) 444-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250411003003 | TX | Practitioner - Nurse Practitioner | 9931623899 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Med Management Associates
Practice addresses (Care Compare)
4006 Vista Rd
Pasadena, TX 77504-2112
Phone (888) 365-6271
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931734 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Psychiatry Services PC | Current | Accepting new patients | |
| Med Management Associates | Current | Accepting new patients |
Locations
6629 Wooldridge Rd
Corpus Christi, TX 78414
Phone (361) 980-8821
1315 Santa Fe St
Ste 204
Corpus Christi, TX 78404
Phone (361) 444-5255
6000 S Staples St
Ste 406
Corpus Christi, TX 78413
Phone (361) 444-5255
4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1336940824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 S STAPLES ST STE 406",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132952",
"telephone_number": "361-444-5255",
"fax_number": "631-998-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 S STAPLES ST STE 406",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132952",
"telephone_number": "361-444-5255",
"fax_number": "361-998-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJESUS",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "931734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
- 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.