Individual provider Active NPI

Lisa Marie Gause, FNP-BC

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1932302973
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11782 Issued in CA
Practice address
4900 California Ave FL 2
Bakersfield, CA 93309-7024
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Jun 7, 2007
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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 11782 CA Primary

Addresses

Primary practice location

4900 California Ave FL 2
Bakersfield, CA 93309-7024

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110221000665 CA Practitioner - Nurse Practitioner 6002097367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Form Health Associates PCGroup PAC ID 0244641272, 11 clinicians

Practice addresses (Care Compare)

4900 California Ave
Bakersfield, CA 93309-7024
Phone (617) 505-1520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11782CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Form Health Associates, P.C. CurrentSince Jul 8, 2024 Accepting new patients
Newport Physical Medicine and Rehabilitation Inc. CurrentSince Nov 5, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 27, 2010 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 27, 2010 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Talbert Medical Group, P.C. Past Accepting new patients
Healthy Life Physicians Group Pacific Northwest, P.C. Past Accepting new patients
Form Health Associates, P.C. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

17264 Red Hill Ave
Irvine, CA 92614
Phone (949) 650-1228

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

109 State St
Ste 5
Boston, MA 02109

Interoperability endpoints

  • Direct secure messaging: lisa.gause@168064768409604.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1932302973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE FL 2",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097024",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.