Individual provider Active NPI

Lisa Braunwell, A.P.N., R.N.

  • Pediatric Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1558600536
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00406800 Issued in NJ
Practice address
205 Inlet Ave
Manahawkin, NJ 08050-2518
Phone
(609) 618-9199
NPI assigned
Feb 11, 2013
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 26NJ00406800 NJ Primary
Pediatric Nurse Practitioner 363LP0200X 5021001 NC

Addresses

Primary practice location

205 Inlet Ave
Manahawkin, NJ 08050-2518

Mailing address

205 Inlet Ave
Manahawkin, NJ 08050-2518
Phone (609) 618-9199

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, WA, WV, NC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20140917001440 NJ Practitioner - Nurse Practitioner 3870712268 Reassigns benefits to 2 organizations
I20171027001886 NY Practitioner - Nurse Practitioner 3870712268 Reassigns benefits to 1 organization
I20190121000167 WA Practitioner - Nurse Practitioner 3870712268 Reassigns benefits to 2 organizations
I20230310001954 WV Practitioner - Nurse Practitioner 3870712268
I20241210004087 NC Practitioner - Nurse Practitioner 3870712268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Childrens HospitalGroup PAC ID 9032021050, 113 clinicians

Practice addresses (Care Compare)

4800 Sand Point Way NE
Seattle, WA 98105-3901
Phone (206) 987-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5021001NCMDPediatric Nurse Practitioner
26NJ00406800NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Children's Hospital Current Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Oct 11, 2024 Accepting new patients
Seattle Childrens Hospital CurrentSince Nov 14, 2018 Accepting new patients
The Association of Chrmc and University Physicians CurrentSince Jan 17, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 1, 2024 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Oct 7, 2017 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Oct 11, 2024 Accepting new patients
Association of CHMC and University Physicians CurrentSince Jan 17, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 1, 2024 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jul 3, 2024 Accepting new patients

Locations

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 524-3846

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Interoperability endpoints

  • Direct secure messaging: lbraunwell361068@direct.wvuhsdirect.com
  • Direct secure messaging: lbraunwell734051@direct.conehealth.com

Organizations & group practices 10

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1558600536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 INLET AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502518",
            "telephone_number": "609-618-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 INLET AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502518",
            "telephone_number": "609-618-9199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUNWELL",
        "first_name": "LISA",
        "name_prefix": "Prof.",
        "credential": "A.P.N., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00406800",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5021001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.