Lisa Duncan, APRN, MSN, FNP-C
NPI 1609604065 · Family Nurse Practitioner · Souderton, PA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Duncan, APRN, MSN, FNP-C is a Family Nurse Practitioner provider in Souderton, PA (NPI 1609604065).
Provider details
- NPI number
- 1609604065
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN, MSN, FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- SP030030 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
1 yr in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
123 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 29 | $112 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 26 | $98 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 26 | $79 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 15 | $146 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 14 | $41 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 17 | 16 |
| Methylprednisolone | 15 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Lisa Duncan's NPI number?
- Lisa Duncan's National Provider Identifier (NPI) is 1609604065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Duncan's specialty?
- Lisa Duncan is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Duncan located?
- Lisa Duncan's practice location on file with NPPES is 715b Route 113, Souderton, PA 18964-1000.
- What is Lisa Duncan's phone number?
- The practice phone number listed in the NPPES registry for Lisa Duncan is (267) 382-3220.
- Does Lisa Duncan accept Medicare?
- Lisa Duncan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Duncan's NPI active?
- Yes — Lisa Duncan's NPI (1609604065) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.