NPIMap

Individual provider Active NPI

Lisa K Higginbotham, MD

  • Internal Medicine Physician
  • Waynesboro, PA
National Provider Identifier
1356394076
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD453969 Issued in PA
Practice address
601 E Main St
Level 3
Waynesboro, PA 17268-2332
Phone
(717) 765-5087
Fax
(717) 765-5070
NPI assigned
May 17, 2006
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD453969 PA Primary

Addresses

Primary practice location

601 E Main St
Level 3
Waynesboro, PA 17268-2332

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5085

Other practice location 2

2055 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 217-6056

Other practice location 3

2075 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 217-6055

Other practice location 4

1425 Philadelphia Ave
Chambersburg, PA 17201-1386
Phone (717) 217-6055

Other identifiers 5

IdentifierTypeStateIssuer
61131403 S108NEOtherMDCAREFIRST BLUE SHIELD
P00026790OtherMDRAILROAD MEDICARE
904001300MedicaidMD
103054240MedicaidPA
F288 0008OtherGHMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009000020 PA Practitioner - Internal MedicinePractitioner - Hospitalist 7214023654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

601 E Main St
Waynesboro, PA 17268-2332

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Good Samaritan Physician Services CurrentSince Mar 1, 2024 Accepting new patients
Good Samaritan Physician Services Current Accepting new patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

2055 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-4963

2075 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-6055

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

601 E Main St
#3
Waynesboro, PA 17268
Phone (717) 765-5060

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: lhigginbotham227764@wellspan.direct-ci.com

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1356394076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST",
            "address_2": "LEVEL 3",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682332",
            "telephone_number": "717-765-5087",
            "fax_number": "717-765-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5085",
            "fax_number": "717-765-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011451",
            "country_code": "US",
            "telephone_number": "717-217-6056",
            "fax_number": "717-217-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2075 Scotland Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011451",
            "country_code": "US",
            "telephone_number": "717-217-6055",
            "fax_number": "717-217-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011386",
            "country_code": "US",
            "telephone_number": "717-217-6055",
            "fax_number": "717-217-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD453969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "61131403 S108NE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00026790",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904001300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103054240",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "F288 0008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, PA

Sources for this page

Verify at the official NPI Registry.