Individual provider Active NPI

Lisa Marie Higginson, CRNP

  • Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1528777901
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP025573 Issued in PA
Practice address
5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697
Phone
(484) 658-5437
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP025573 PA
Nurse Practitioner 363L00000X SP025573 PA Primary

Addresses

Primary practice location

5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697

Mailing address

5425 Lanark Rd Ste 200
Center Valley, PA 18034-8697
Phone (484) 658-5437

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002610 PA Practitioner - Nurse Practitioner 8325402860 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Physician Group, Inc CurrentSince Sep 30, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Advocare , LLC CurrentSince Nov 1, 2023 Accepting new patients
Advocare, LLC CurrentSince Nov 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

5425 Lanark Rd
Ste 200
Center Valley, PA 18034
Phone (570) 594-0660

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: lhigginson265658@direct-sluhn.org

Organizations & group practices 6

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1528777901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 200",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 200",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP025573",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP025573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.