Lisa Hanna, AGPCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Mount Pocono, Pennsylvania. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
111 Alice Ln, Mount Pocono, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 972-7879.
Lisa Hanna is licensed to practice in Pennsylvania (license number SP034348) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1649143090.
Provider's Profile
| Full Name | Lisa Hanna |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 111 Alice Ln, Mount Pocono, Pennsylvania |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa Hanna graduated from nursing school in 2025
NPI Data:
- NPI Number: 1649143090
- Provider Enumeration Date: 09/23/2025
- Last Update Date: 11/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769968460
- Enrollment ID: I20260113000952
Medical Identifiers
Medical identifiers for Lisa Hanna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649143090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | SP034348 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Hanna is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Lisa Hanna, AGPCNP 111 Alice Ln, Mount Pocono, PA 18344-7100 Ph: (570) 972-7879 | Lisa Hanna, AGPCNP 111 Alice Ln, Mount Pocono, PA 18344-7100 Ph: (570) 972-7879 |
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