Individual provider Active NPI

Lisa A Collins, CRNP

  • Adult Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1619759503
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R161834 Issued in MD
Practice address
804 Toll House Ave
Frederick, MD 21701-4519
Phone
(301) 695-7000
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R161834 MD
Adult Health Nurse Practitioner 363LA2200X R161834 MD Primary
Primary Care Nurse Practitioner 363LP2300X R161834 MD

Addresses

Primary practice location

804 Toll House Ave
Frederick, MD 21701-4519

Mailing address

804 Toll House Ave
Frederick, MD 21701-4519
Phone (301) 695-7000

Other practice location 1

292 Stoner Ave
Westminster, MD 21157-5629
Phone (410) 871-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20231127003207 MD Practitioner - Nurse Practitioner 9830547124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridginglife, Inc.Group PAC ID 4880797943, 11 clinicians

Practice addresses (Care Compare)

292 Stoner Ave
Westminster, MD 21157-5629
Phone (410) 871-8000

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R161834MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Solutions, LLC CurrentSince Nov 1, 2023 Accepting new patients
Bridginglife, Inc. Current Accepting new patients
Bridginglife, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Metro Maryland Anesthesia LLC PastSince Mar 9, 2020 Accepting new patients
Bridginglife, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

804 Toll House Ave
Frederick, MD 21701
Phone (301) 695-7000

292 Stoner Ave
Westminster, MD 21157
Phone (443) 974-8725

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.

Hospital & facility affiliations 2

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": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1619759503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 TOLL HOUSE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014519",
            "telephone_number": "301-695-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 TOLL HOUSE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014519",
            "telephone_number": "301-695-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "292 Stoner Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575629",
            "country_code": "US",
            "telephone_number": "410-871-8000",
            "fax_number": "410-871-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R161834",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R161834",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R161834",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.