Lisa A. Brown, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601004300 Issued in MI

Practice address

4497 Sheffield PL
Bay City, MI 48706-2554

Phone

(989) 883-3800

Fax

(989) 883-9131

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SVC Dermatology PCGroup PAC ID 6800806050, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lbrown49783@direct.hurleymc.com

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.

• SVC Dermatology PC

  • Dermatology Physician
  • Fenton, MI
  • NPI 1174565600
  Medicare reassignment Care Compare group
• Brent M Boyce MD PC

  • Medical Physician Assistant
  • Sebewaing, MI
  • NPI 1982736054
  Medicare reassignment
• M15 Urgent Care PC

  • Emergency Medicine Physician
  • Ortonville, MI
  • NPI 1194017673
  Medicare reassignment
• M15 Family Care PC

  • Internal Medicine Physician
  • Ortonville, MI
  • NPI 1558733204
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1962552273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E MAIN ST",
            "city": "SEBEWAING",
            "state": "MI",
            "postal_code": "487591568",
            "telephone_number": "989-883-3800",
            "fax_number": "989-883-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 SHEFFIELD PL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062554",
            "telephone_number": "989-883-3800",
            "fax_number": "989-883-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601004300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Brothers, LLBSW
• Amber Brown, COTA/L
• Birdie Brown
• Cameron Douglas Brown
• Jordyn Lindsey Brown, PA-C
• Miranda Brown
• Randall H Brown, DDS
• Kameron Andrew Brozewski
• Christopher Eric Bruck, MD
• Kelly Bruessow, PHARMD

• Surgical Physician Assistant in Bay City, MI
• Providers in Bay City, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.