Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003811175 Individual Practitioner Female Practitioner

Lisa Devineni , CRNP

Nurse Practitioner • Johnstown, PA

Professional Overview & Biography Verified Profile Summary

Lisa Devineni, CRNP is a registered healthcare professional specializing in Nurse Practitioner in Johnstown, PA. Practice services are available at 315 LOCUST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 Locust St
2nd Floor

Johnstown, PA 159011651

Telephone 8145346750
Fax 8145346760
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Johnstown, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Johnstown, PA (3955 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA VP004823B

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Joel Borkow , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1063575421

Doctor of Medicine (M.D.)

Dr. Kamran Shayesteh , DO

Surgery - Plastic and Reconstructive Surgery

NPI 1336150564

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Rollins , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1407840762

Doctor of Medicine (M.D.)

Corrin Fesko

Nurse Practitioner

NPI 1790234052

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 315 LOCUST ST, 2ND FLOOR, JOHNSTOWN, PA 159011651 (Tel: 8145346750)

📍
Updated Business Mailing Address October 17, 2014

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8144108300)

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as LISA DEVINENI, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Nurse Practitioner (License #VP004823B in PA)

🟢
Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003811175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: October 17, 2014
Sole Proprietor: No

Mailing Address

1086 Franklin St

Johnstown, PA 159054305

Phone: 8144108300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.