Lisa Staab, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

LG-0011818 Issued in DE

Practice address

2 Lee Ave
Georgetown, DE 19947-2149

Phone

(302) 856-4092

NPI assigned

Mar 22, 2021

Last updated

Apr 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MD, DC, PA4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Atlantic Family Physicians, LLC

  • Family Medicine Physician
  • Georgetown, DE
  • NPI 1346668886
  Medicare reassignment NPD
• Consonant Healing Associates of de LLC

  • Surgery Physician
  • Sparks, MD
  • NPI 1669099321

  DE, Nurse Practitioner

  Medicare reassignment NPD
• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  DC, Nurse Practitioner, PA

  Medicare reassignment NPD
• Mobile Wound Care Services - Northeast PC

  • Specialist
  • Chalfont, PA
  • NPI 1285426437
  Medicare reassignment NPD
• Mobile Wound Care Solutions LLC

  • Specialist
  • Cincinnati, OH
  • NPI 1548070014

  MD

  Medicare reassignment NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  MD, PA

  Medicare reassignment NPD
• Renew Wound Care of Pennsylvania LLC

  • Internal Medicine Physician
  • Wyncote, PA
  • NPI 1194442640
  Medicare reassignment NPD
• Staab Medispa and Healthcare LLC

  • Adult Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1346185907
  NPD Authorized official
• Golden Oak Medical LLC

  • Physical Medicine & Rehabilitation Physician
  • New Hyde Park, NY
  • NPI 1720543721

  DE

  Medicare reassignment

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1447836135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CHESTNUT HILL RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210501720",
            "telephone_number": "443-528-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEE AVE",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472149",
            "telephone_number": "302-856-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26900 Lewes Georgetown Hwy",
            "address_purpose": "LOCATION",
            "city": "Harbeson",
            "state": "DE",
            "postal_code": "199512855",
            "country_code": "US",
            "telephone_number": "302-684-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAAB",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R085703",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LG-0011818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sodel Pulmonary Center, LLC
• John David Sohonage, DDS
• Southern Delaware Sportscare and Rehabilitation, LLC (Pivot Physical Therapy)
• Anna Sparrow, PTA
• Hayley A Sprague, O.D.
• Jessica Stag, OTR/L
• State of Delaware
• State of Delaware (Sussex Technical School District)
• State of Delaware-DDDS As.Liv
• State of Delaware-Stockley

• Primary Care Nurse Practitioner in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Primary Care Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.

Verify at the official NPI Registry.