Lisa Nicole Manning, PA
NPI 1164904579ActiveIndividual· Physician Assistant· Brookline, MA
Physician Assistant (PA) in Brookline, Massachusetts, licensed in MA, with an NPI issued in August 2018. 286 Medicare patients in 2024, $27,903 paid; nearly all of their 205 Part D prescriptions were generic (92%).
Overview
| NPI | 1164904579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 31, 2018 |
| Last updated in NPPES | Oct 18, 2022 |
| Certified by provider | Oct 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA6689 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 286 |
|---|---|
| Services billed | 466 across 36 procedure codes |
| Paid by Medicare | $27,903 |
Part D prescriptions in 2024
| Prescriptions (claims) | 205 · 206 30-day fills |
|---|---|
| Patients | 168 |
| Total drug cost | $2,006 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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