Active NPI
Lisa M Rocca, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012889
- Practice address
- 1650 Market St Ste 3600
Philadelphia, PA 19103-7334 - Phone
- (855) 212-2273
- Fax
- (629) 240-6003
- NPI assigned
- May 22, 2013
- Last updated
- Oct 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP012889 | PA | Primary |
Addresses
Primary practice location
1650 Market St Ste 3600
Philadelphia, PA 19103-7334
Mailing address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273
Other practice location 1
990 bren road east
Minnetonka, PA 55343
Phone (800) 328-5979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104597553-0002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012889 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Matrix Medical Plus | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 362-3232
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Family, PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1437596087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278087",
"telephone_number": "855-212-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 MARKET ST STE 3600",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191037334",
"telephone_number": "855-212-2273",
"fax_number": "629-240-6003"
}
],
"practiceLocations": [
{
"address_1": "990 bren road east",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "PA",
"postal_code": "55343",
"country_code": "US",
"telephone_number": "800-328-5979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCCA",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104597553-0002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.