Mrs Lisa Marie Suddreth, MSN, NP-C, PMHNP-BC - Medicare Nurse Practitioner in Gastonia, NC

  1. Home
  2. Nurse Practitioner
  3. NC
  4. Gastonia
Mrs Lisa Marie Suddreth, MSN, NP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gastonia, North Carolina. Her current practice location is 830 Summit Crossing Pl, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 917-7610.

Mrs Lisa Marie Suddreth is licensed to practice in North Carolina (license number 5004669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033434519.

Contact Information

Mrs Lisa Marie Suddreth, MSN, NP-C, PMHNP-BC
830 Summit Crossing Pl,
Gastonia, NC 28054-2192
(704) 917-7610
(704) 917-7615

Map and Direction




Provider's Profile

Full NameMrs Lisa Marie Suddreth
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location830 Summit Crossing Pl, Gastonia, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033434519
  • Provider Enumeration Date: 03/29/2010
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284764077
  • Enrollment ID: I20100604000357

Medical Identifiers

Medical identifiers for Mrs Lisa Marie Suddreth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033434519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5004669 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5004669 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lisa Marie Suddreth allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699748608
PECOS PAC ID: 6002837572
Enrollment ID: O20051212000719
Entity NameOutreach Management Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417080680
PECOS PAC ID: 6800941923
Enrollment ID: O20171122000321

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. Mrs Lisa Marie Suddreth 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 AddressPractice Location Address
Mrs Lisa Marie Suddreth, MSN, NP-C, PMHNP-BC
4089 Bordeaux Dr.,
Denver, NC 28037

Ph: (980) 434-8236		Mrs Lisa Marie Suddreth, MSN, NP-C, PMHNP-BC
830 Summit Crossing Pl,
Gastonia, NC 28054-2192

Ph: (704) 917-7610

Reviews and Comments


Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054
Phone: 704-671-5313    
Jonathan Labayo Desamero, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3715 Union Rd, Gastonia, NC 28056
Phone: 704-854-8202    
Susanna M Shepard, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 609 N Highland St, Gastonia, NC 28052
Phone: 704-853-5294    
Cecily Robin Smith, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 815 Cox Rd, Gastonia, NC 28054
Phone: 704-865-1700    Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054
Phone: 704-864-8302    Fax: 704-864-0228
Nora Davis Paysour, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr, Gastonia, NC 28054
Phone: 704-834-2000    Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1282 Audubon Dr, Gastonia, NC 28054
Phone: 704-718-4150    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.