Individual provider Active NPI

Lisa A Watson, DO

  • Family Medicine Physician
  • Albion, PA
National Provider Identifier
1689747297
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014223 Issued in PA
Practice address
155 E State St
Albion, PA 16401-1347
Phone
(814) 756-4917
Fax
(814) 756-5226
NPI assigned
Nov 15, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014223 PA Primary

Addresses

Primary practice location

155 E State St
Albion, PA 16401-1347

Mailing address

2314 Sassafras Street
2ND Floor
Erie, PA 16502-2721
Phone (814) 452-5043

Other identifiers 2

IdentifierTypeStateIssuer
1021746830002MedicaidPA
1021746830001MedicaidPA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000270 PA Practitioner - Family Practice 5991871758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Sep 1, 2010 Accepting new patients
Upmc Community Medicine Inc CurrentSince Sep 1, 2010 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine PastSince Jan 31, 2021 Accepting new patients
Saint Vincent Consultants in Cardiovascular Diseases PastSince Feb 11, 2024 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

450 Erie St
Edinboro, PA 16412
Phone (814) 725-3750

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

2314 Sassafras St
Ste 2
Erie, PA 16502
Phone (814) 452-5105

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

Interoperability endpoints

  • Direct secure messaging: lwatson354976@direct.ahn.org

Organizations & group practices 7

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 3

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1689747297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS STREET",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022721",
            "telephone_number": "814-452-5043",
            "fax_number": "814-452-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E STATE ST",
            "city": "ALBION",
            "state": "PA",
            "postal_code": "164011347",
            "telephone_number": "814-756-4917",
            "fax_number": "814-756-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021746830002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021746830001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, PA

Sources for this page

Verify at the official NPI Registry.