Individual provider Active NPI

Lisa Birl Hasan, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1902832801
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8360 Six Forks Rd
Suite 202
Raleigh, NC 27615-5077
Phone
(919) 848-0132
Fax
(919) 848-0277
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

8360 Six Forks Rd
Suite 202
Raleigh, NC 27615-5077

Mailing address

8360 Six Forks Rd
Suite 202
Raleigh, NC 27615-5077
Phone (919) 848-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060807000128 NC Practitioner - Physician Assistant 5991708224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adolescent,Child and Adult PsychiatryGroup PAC ID 3375714777, 4 clinicians

Practice addresses (Care Compare)

4041 Ed Dr
Raleigh, NC 27612-8004
Phone (919) 324-3385

4041 Ed Dr
Suite 108
Raleigh, NC 27612-8092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00469NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Clinic, P a Physician Assistant Past Accepting new patients
Carter Clinic, P.a. Past Accepting new patients

Organizations & group practices 3

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902832801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 SIX FORKS RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155077",
            "telephone_number": "919-848-0132",
            "fax_number": "919-848-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 SIX FORKS RD",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155077",
            "telephone_number": "919-848-0132",
            "fax_number": "919-848-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "LISA",
        "middle_name": "BIRL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.