Lisa Padvelskis, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP020012 Issued in PA

Practice address

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324

Phone

(610) 272-8221

Fax

(610) 272-5655

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Geriatric's, Inc.Group PAC ID 4486551371, 102 clinicians

Suburban Geriatrics II PCGroup PAC ID 9537552419, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Suburban Geriatrics II PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1073273363
  Medicare reassignment Care Compare group NPD
• Suburban Geriatrics, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1679594808
  Medicare reassignment Care Compare group NPD
• Violet Valley Long Term Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth Meeting, PA
  • NPI 1649164617
  Medicare reassignment NPD
• Suburban Geriatrics at Home PC

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1568122844
  Medicare reassignment

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

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Blue Bell, PA
  • NPI 1245323351
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Hatboro, PA
  • NPI 1316387798
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Bethlehem, PA
  • NPI 1477713519
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Jamison, PA
  • NPI 1649217092
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newtown, PA
  • NPI 1801837976
  Care Compare affiliation

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1730652850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 JOLLY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622324",
            "telephone_number": "610-272-8221",
            "fax_number": "610-272-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADVELSKIS",
        "first_name": "LISA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020012",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "F11180788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulseven Ozer
• Pac Family Based Services
• Catherine Pacewicz
• Christopher Pacheco
• Becky C Padgett, LPN
• Nicholas Joseph Pagano Jr., DPM
• Angela Page
• Catherine Anne Page, MSOTR/L
• Joseph Page
• Kelli Z Page

• Nurse Practitioner in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.