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

Lisa Joan Nelson, PA

Individual provider Medical Physician Assistant · NPI 1053065680

Lisa Joan Nelson, PA is a Physician Assistant in Geneva, New York. Qualified in 2022, 4 years ago. Practices with Finger Lakes Community Health, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

789 Pre Emption Rd
Geneva, NY 14456-2069
Phone: (315) 781-2000
Show map & directions

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

Additional practice locations (1)

  • 65 W 36th St, New York, NY 10018-7902 — (888) 412-3632

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 029049 (NY)

Record details

NPI number1053065680
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Finger Lakes Community Health — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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