Individual provider Active NPI

Lisa M Grine, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1710496799
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00759000 Issued in NJ
Practice address
28 Spring St # 5057
Princeton, NJ 08542-6901
Phone
(386) 449-9970
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X AP11579 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00759000 NJ Primary

Addresses

Primary practice location

28 Spring St # 5057
Princeton, NJ 08542-6901

Mailing address

28 Spring St # 5057
Princeton, NJ 08542-6901
Phone (386) 449-9970

Other practice location 1

218A Sunset Rd, 1st Floor
Willingboro, NJ 08046
Phone (856) 355-7118

Other practice location 2

100 Bowman Drive, Lower Level 3
Voorhees, NJ 08043
Phone (856) 355-7118

Other practice location 3

175 Madison Avenue, 6th Floor
Mount Holly, NJ 08060
Phone (856) 355-7118

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lgrine317765@directvirtua.org
Direct Messaging Address lgrine317765@directvirtua.org
Direct Messaging Address lgrine317765@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44 E Broadway Blvd
Suite 100
Tucson, AZ 85701-1712

764 Pear St
Lawrenceville, NJ 08648-4640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11579AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Current Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Current Accepting new patients
Virtua Medical Group, PA Multi-Specialty CurrentSince Feb 10, 2026 Accepting new patients
Wisconsin Ave Psychiatric Center Inc Multi-Specialty CurrentSince Apr 26, 2018 Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty CurrentSince Aug 2, 2018 Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 10, 2026 Accepting new patients
Community Partners Integrated Healthcare Inc. CurrentSince Aug 2, 2018 Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Past Accepting new patients
Virtua Medical Group, PA Multi-Specialty Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Behavioral Consultation Services, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Multi-Specialty Past Accepting new patients

Locations

500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290

272 W View Point Dr
Nogales, AZ 85621
Phone (520) 281-0678

1021 S Kofa Ave
Parker, AZ 85344
Phone (928) 669-6669

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560

2039 E Wilcox Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 226-9002

2499 E Ajo Way
Tucson, AZ 85713
Phone (520) 618-8700

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353

3939 S Park Ave
Ste 150
Tucson, AZ 85714
Phone (520) 333-4320

2502 N Dodge Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 901-4701

5055 E Broadway Blvd
Ste C104
Tucson, AZ 85711
Phone (520) 623-9833

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

2545 S Arizona Ave
Bldg A
Yuma, AZ 85364

2545 S Arizona Ave
Yuma, AZ 85364
Phone (928) 550-0756

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

175 Madison Ave
Fl 6
Mount Holly, NJ 08060

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • Direct secure messaging: lisa.grine.p1@direct.cpi.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1710496799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SPRING ST # 5057",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426901",
            "telephone_number": "386-449-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SPRING ST # 5057",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426901",
            "telephone_number": "386-449-9970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218A Sunset Rd, 1st Floor",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Drive, Lower Level 3",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Avenue, 6th Floor",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "08060",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00759000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrine317765@directvirtua.org",
            "affiliation": "N",
            "address_1": "218A Sunset Rd, 1st Floor",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrine317765@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Drive, Lower Level 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrine317765@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Avenue, 6th Floor",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.