Lisa Anne Dewilde, FNP
NPI 1548782204ActiveIndividual· Nurse Practitioner, Family· Newark, NY
Nurse Practitioner, Family (FNP) with Clifton Springs Sanitarium Co and 1 other group, practicing in Newark, New York. Medicare paid $6,390 for services to 55 patients in 2024. Lists Clifton Springs Hospital and Clinic and 1 other hospital as hospital affiliations.
Overview
| NPI | 1548782204 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jul 13, 2017 |
| Last updated in NPPES | May 22, 2026 |
| Certified by provider | May 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F3418541 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 66 across 7 procedure codes |
| Paid by Medicare | $6,390 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Clifton Springs Sanitarium CoClifton Springs, NY · 221 clinicians
- Newark Wayne Community HospitalNewark, NY · 132 clinicians
Hospital affiliations
- Clifton Springs Hospital and ClinicClifton Springs, NY
- Newark-Wayne Community HospitalNewark, NY
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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