LISA MARIE PETO APRN FNP-C NPI 1720485170

NPI Information

  • NPI: 1720485170
  • Provider Name: LISA MARIE PETO, APRN FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24165 HWY 27
    LAKE WALES, FL
    ZIP 33859
  • Phone: (863) 696-0393

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NPI Details

Lisa Marie Peto, APRN FNP-C is a family nurse practitioner in Lake Wales, FL with 11 years of experience. Lisa Marie Peto, APRN FNP-C NPI is 1720485170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24165 HWY 27
LAKE WALES, FL
ZIP 33859-819
Phone: (863) 696-0393
Fax: (863) 676-0275

The NPI 1720485170 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 12/1/2014 and was last updated on 9/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN9346305FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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