Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Hanna, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1649143090

Lisa Hanna, AGPCNP is a Nurse Practitioner in Mount Pocono, Pennsylvania. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025

Practice location Address checks out

111 Alice Ln
Mount Pocono, PA 18344-7100
Phone: (570) 972-7879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence SP034348 (PA)

Record details

NPI number1649143090
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedSeptember 23, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated