Individual provider Active NPI

Lisa Marie Martz Kernen, MD

  • Pediatrics Physician
  • Lancaster, PA
National Provider Identifier
1689645772
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-072469 Issued in PA
Practice address
160 N Pointe Blvd
Suite 110
Lancaster, PA 17601-4134
Phone
(717) 569-6481
NPI assigned
Jan 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-072469 PA Primary

Addresses

Primary practice location

160 N Pointe Blvd
Suite 110
Lancaster, PA 17601-4134

Mailing address

160 N Pointe Blvd
Suite 110
Lancaster, PA 17601-4134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230123002861 FL Practitioner - Pediatric Medicine 4385718345 Reassigns benefits to 1 organization
I20230220000073 NJ Practitioner - Pediatric Medicine 4385718345 Reassigns benefits to 1 organization
I20240710002923 PA Practitioner - Pediatric Medicine 4385718345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-072469PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 25, 2024 Accepting new patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Nov 11, 2022 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
The Nemours Foundation CurrentSince Nov 11, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 25, 2024 Accepting new patients
Nemours New Jersey Physician Practice, P.C. Pediatrics CurrentSince Nov 8, 2022 Accepting new patients
Upmc Lititz Past Accepting new patients

Locations

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

1280 Almonesson Rd
Woodbury, NJ 08096
Phone (856) 345-1401

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

Organizations & group practices 8

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1689645772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-569-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNEN",
        "first_name": "LISA",
        "middle_name": "MARIE MARTZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-072469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.