Active NPI
Lisa A Neri, MSN, CRNP
- Family Nurse Practitioner
- Malvern, PA
National Provider Identifier
1598817108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- UP006022B
- Practice address
- 51 Valley Stream Pkwy Ste 1000
Malvern, PA 19355-1406 - Phone
- (833) 692-6882
- Fax
- (601) 651-2705
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | UP006022B | PA | Primary |
Addresses
Primary practice location
51 Valley Stream Pkwy Ste 1000
Malvern, PA 19355-1406
Mailing address
208 Mary Hill Road
Phoenixville, PA 19460
Phone (610) 917-0454
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
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| Community Health and Dental Care, Inc | Current | Accepting new patients | |
| Eagle Direct Primary Care LLC | Past | Accepting new patients |
Locations
351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097
700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Pottstown, PA
- NPI 1295994341
-
- Federally Qualified Health Center (FQHC)
- Boyertown, PA
- NPI 1548034663
-
- Family Medicine Physician
- Chester Springs, PA
- NPI 1578934162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1598817108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 MARY HILL ROAD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "19460",
"telephone_number": "610-917-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 VALLEY STREAM PKWY STE 1000",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551406",
"telephone_number": "833-692-6882",
"fax_number": "601-651-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERI",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MSN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "UP006022B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.