Irena Urszula Lisek, CNP
Nurse Practitioner, Family in Pembroke, MA. Individual provider (NPI-1).
NPI number1053905166
StatusActive
Last updated in NPPESNov 5, 2023
Details
- NPI
- 1053905166
- Entity type
- Individual (NPI-1)
- Name
- Ms. Irena Urszula Lisek
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2021
- Certification date
- Nov 5, 2023
- Last updated
- Nov 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2307935 | MA | Yes |
Other names
- Irena Urszula Lisek (Professional Name)
Practice location
15 Old West Elm StPembroke, MA 02359-1731
Phone 781-202-9292
Mailing address
15 Old West Elm StPembroke, MA 02359-1731
Phone 781-202-9292
Other practice locations
244 Grove St
Kingston, MA 02364-1355
Kingston, MA 02364-1355
Phone 617-543-7571
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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