NPIMap

Individual provider Active NPI

Lisa M Decesare, NP

  • Family Nurse Practitioner
  • Lewiston, ME
National Provider Identifier
1922300870
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP101058 Issued in ME
Practice address
12 High St
Suite 401
Lewiston, ME 04240-7676
Phone
(207) 795-2494
Fax
(207) 795-2732
NPI assigned
Nov 29, 2010
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP101058 ME Primary

Addresses

Primary practice location

12 High St
Suite 401
Lewiston, ME 04240-7676

Mailing address

12 High St
Suite 401
Lewiston, ME 04240-7676
Phone (207) 795-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000581 ME Practitioner - Nurse Practitioner 6608059712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

121 Medical Ctr Dr
Suite 3400
Brunswick, ME 04011-2675
Phone (207) 406-7300

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

887 Congress St
Suite 400
Portland, ME 04102-3163
Phone (207) 662-5522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP101058MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners CurrentSince Feb 17, 2013 Accepting new patients
Brookwood Primary Care Hoover, L.L.C. Current Accepting new patients
Maine Medical Partners Family CurrentSince Feb 17, 2013 Accepting new patients
Brookwood Womens Care, L.L.C. Current Accepting new patients
Mainehealth CurrentSince Jan 12, 2011 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jan 12, 2011 Accepting new patients

Locations

13521 Old Highway 280
Ste 201
Birmingham, AL 35242
Phone (205) 408-4349

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

121 Medical Center Dr
Ste 3400
Brunswick, ME 04011
Phone (207) 406-7300

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: ldecesare31281@direct.mmc.mainehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1922300870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "SUITE 401",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407676",
            "telephone_number": "207-795-2494",
            "fax_number": "207-795-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "SUITE 401",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407676",
            "telephone_number": "207-795-2494",
            "fax_number": "207-795-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP101058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.