Lisa Grimaldi, PA-C
NPI 1790051274ActiveIndividual· Physician Assistant· Albuquerque, NM
Physician Assistant (PA-C) in Albuquerque, New Mexico, licensed in NM, AZ, CO and UT and other states, with an NPI issued in March 2012. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1790051274 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Mar 28, 2012 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2013-0017 | NM |
| Physician Assistant | 363A00000X | 5134 | AZ |
| Physician Assistant | 363A00000X | 3371 | CO |
| Physician Assistant | 363A00000X | 11578037-1206 | UT |
| Physician Assistant | 363A00000X | 58871 | CA |
| Physician Assistant, Medical | 363AM0700X | PA2013-0017 | NM |
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 - Physician Assistant (CO) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Albuquerque
- 1013398072
- 1023278108
- 1023318409
- 1053085183
- 1053327783
- 1063009991
- 1063042208
- 1063152999
- 1063904464
- 1073063772
- 1093263105
- 1093460156
All 502 physician assistants in Albuquerque · All physician assistants in New Mexico