Lisa M Landis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052788 Issued in PA

Practice address

2118 Spring Valley Rd
Lancaster, PA 17601-2427

Phone

(717) 544-0150

Fax

(717) 544-0151

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lisa M Pittenger Former name

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

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
• Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: llandispac87515@direct-lghealth.org

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.

• Lancaster General Medical Group

  dba Penn Medicine LGHP Behavioral Health

  • Psychiatry Physician
  • Lancaster, PA
  • NPI 1952392383
  Medicare reassignment Care Compare group
• Lancaster General Medical Group

  dba Penn Medicine LGHP Orthopaedics

  • Orthopaedic Surgery Physician
  • Lancaster, PA
  • NPI 1164137287
  NPD
• Lancaster General Medical Group

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
  • NPI 1306724570
  NPD
• Lancaster General Medical Group

  dba Penn Medicine LGHP Family Medicine Strasburg

  • Family Medicine Physician
  • Strasburg, PA
  • NPI 1316912785
  NPD (past)

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

• Good Shepherd Rehabilitation Hospital

  • Rehabilitation Hospital
  • Center Valley, PA
  • NPI 1255374799

  Inpatient rehabilitation facility

  Care Compare affiliation
• Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
  • NPI 1104875103
  Care Compare affiliation
• Lancaster General Hospital

  dba Parkesburg Outpatient Center

  • General Acute Care Hospital
  • Parkesburg, PA
  • NPI 1245571942
  Care Compare affiliation
• Lancaster General Hospital

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1538290424

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1851472765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150",
            "fax_number": "717-544-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-544-0150",
            "fax_number": "717-544-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD - FREEDOM BLUE",
            "identifier": "1917691",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY MEDICARE ASSURED",
            "identifier": "1602876",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PITTENGER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alta Landis, MS, LPC
• Bette A Landis, LCSW
• Callie Landis, CPES
• Herbert E Landis, LCSW
• Kimberly M Landis, CRNP
• Shayna Rae Landis
• Sherry Landis, CRNP
• Jessica Landman, LSW
• Yaroslav Lando, M.D.
• Tonya L Lane

• Physician Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.