Lisa Ertle, APRN
Individual provider Active NPI Family Nurse Practitioner · West Long Branch, NJ
NPI 1891583274 · NPPES record last updated Jul 24, 2026
Key facts
- NPI
- 1891583274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ15263200 (NJ)
- Practice address
- 103 Parker Rd Ste B
West Long Branch, NJ 07764-1009 - Phone
- (732) 222-0307
- Fax
- (732) 222-0394
- NPI assigned
- Apr 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Endocrinology, LLC
Practice addresses (Care Compare)
103 Parker Rd
Suite B
West Long Branch, NJ 07764-1009
Phone (732) 222-0307
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260608002856 | NJ | Practitioner - Nurse Practitioner | 8921579228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15263200 | NJ | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ15263200 | NJ | Yes |
Addresses
Primary practice location
103 Parker Rd Ste B
West Long Branch, NJ 07764-1009
Mailing address
687 Ellington Rd
Ridgewood, NJ 07450-5512
Phone (551) 482-0173
Other providers in West Long Branch, NJ
- Mostafa S Elgibaly
- Joyce Norma Elkharrat
- Mai Elsayed
- Hussam Eltoukhy
- Ronold Mark Epstein
- Eye and Face LLC
- Isaac Ezon
- David Falco
- Falivene and Falivene DDS PA
- Renee Falivene
All providers in West Long Branch, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.