Individual provider Active NPI

Lisa Ann Hermansky, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1609488337
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC007761 Issued in MD
Practice address
360 E Pulaski Hwy FL 3
Elkton, MD 21921-6457
Phone
(844) 365-2202
Fax
(844) 558-1878
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern Jersey Family Medical Centers, Inc 42 clinicians
Integrated Health 3 clinicians

Practice addresses (Care Compare)

238 E Broadway
Salem, NJ 08079-1108
Phone (856) 935-7711

291 Carter Dr
Suite a
Middletown, DE 19709-5845
Phone (844) 365-2202

360 E Pulaski Hwy
FL 3
Elkton, MD 21921
Phone (844) 365-2202

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201008000290 NJ Practitioner - Nurse Practitioner 2769801943 Reassigns benefits to 1 organization
I20250617001443 DE Practitioner - Nurse Practitioner 2769801943 Reassigns benefits to 1 organization
I20250722004081 MD Practitioner - Nurse Practitioner 2769801943 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC007761MDMDFamily Nurse Practitioner
26NJ01045200NJMDFamily Nurse Practitioner
LG-0011453DEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 28, 2020 Accepting new patients
Integrated Health, LLC Primary Care CurrentSince Aug 1, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Sep 28, 2020 Accepting new patients

Locations

291 Carter Dr
Ste A
Middletown, DE 19709
Phone (844) 365-7146

291 Carter Dr
Ste B
Middletown, DE 19709
Phone (301) 761-1982

405 Silverside Rd
Ste 104
Wilmington, DE 19809
Phone (844) 365-2202

3105 Limestone Rd
Ste 300
Wilmington, DE 19808
Phone (302) 992-0200

360 E Pulaski Hwy
Fl 3
Elkton, MD 21921
Phone (410) 620-9722

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

238 E Broadway
Salem, NJ 08079
Phone (800) 486-0131

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC007761 MD Primary
Family Nurse Practitioner 363LF0000X LG-0011453 DE
Primary Care Nurse Practitioner 363LP2300X LG-0011453 DE
Primary Care Nurse Practitioner 363LP2300X AC007761 MD
Family Nurse Practitioner 363LF0000X 26NJ01045200 NJ

Addresses

NPPES NPI Registry

Primary practice location

360 E Pulaski Hwy FL 3
Elkton, MD 21921-6457

Mailing address

291 Carter Dr Ste B
Middletown, DE 19709-5845
Phone (844) 365-2202

Other practice location 1

291 Carter Dr Ste B
Middletown, DE 19709-5845
Phone (844) 365-2202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2025.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1609488337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 CARTER DR STE B",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095845",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E PULASKI HWY FL 3",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216457",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Carter Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095845",
            "country_code": "US",
            "telephone_number": "844-365-2202",
            "fax_number": "844-558-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMANSKY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "MSN,  APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007761",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011453",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LG-0011453",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AC007761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01045200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.