Individual provider Active NPI

Lisa Stern Paine, A.R.N.P.

  • Women's Health Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1801169925
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9171088 Issued in FL
Practice address
11175 County Line Rd
Spring Hill, FL 34609
Phone
(352) 686-8888
Fax
(352) 684-6888
NPI assigned
Feb 21, 2012
Reactivated
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9171088 FL Primary

Addresses

Primary practice location

11175 County Line Rd
Spring Hill, FL 34609

Mailing address

11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 686-8888

Other practice location 1

888 S Parsons Ave
ATTN: Lisa Paine
Brandon, FL 33511-6007
Phone (813) 684-2229

Other identifiers 2

IdentifierTypeStateIssuer
004539100MedicaidFL
Y0AZ5OtherFLBCBS

Other names 1

  • Lisa Christine Stern Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.paine.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120906000854 FL Practitioner - Nurse Practitioner 4082862594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 686-8884

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Tampa General Medical Group Inc Current Accepting new patients
Tampa General Medical Group Inc CurrentSince Dec 1, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

Locations

11175 County Line Rd
Spring Hill, FL 34609
Phone (352) 686-8884

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lpaine305568@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 5

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1801169925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095615",
            "telephone_number": "352-686-8888",
            "fax_number": "352-684-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-686-8888",
            "fax_number": "352-684-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 S Parsons Ave",
            "address_2": "ATTN: Lisa Paine",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116007",
            "country_code": "US",
            "telephone_number": "813-684-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINE",
        "first_name": "LISA",
        "middle_name": "STERN",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "deactivation_date": "2019-07-24",
        "reactivation_date": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9171088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004539100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0AZ5",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.paine.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "11175 County Line Rd",
            "city": "Spring Hill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "STERN",
            "middle_name": "CHRISTINE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.