Lisa Marie Kieser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056498 Issued in PA

Practice address

1705 Warren Ave Ste 304
Williamsport, PA 17701-2665

Phone

(570) 322-4791

NPI assigned

Sep 13, 2013

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Marie Paz 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Practice Center, PC

  • Physical Therapist
  • Middleburg, PA
  • NPI 1154376937

  Physician Assistant

  Medicare reassignment NPD
• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1265801112
  Medicare reassignment
• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1437351640
  NPD
• Rural Health Corporation of Northeastern Pennsylvania

  dba Hazleton Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Hazleton, PA
  • NPI 1679115760
  NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1871928457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE STE 304",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012665",
            "telephone_number": "570-322-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE STE 304",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012665",
            "telephone_number": "570-322-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PAZ",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rafay Khan, DO
• Saadullah Khan, MD
• Kidney Center Home Therapies LLC
• Kidspeace National Centers Inc
• Valerie R Kieffer
• Cindy A Kiess, REGISTERED NURSE
• Matthew Roger Kiley, MD
• Nicholas Aaron Kilpatrick, PA-C, ATC
• Dixie Kime
• Susan E King, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.