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

Lisa Rudolph, DNP, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1487105714

Lisa Rudolph, DNP, AGNP-BC is a Nurse Practitioner in New York, New York. Graduated from State University of New York at Buffalo School of Medicine in 2016, 10 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2016
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

55 Water St Fl 46
New York, NY 10041-3211
Phone: (212) 649-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 444 Norwood Ave, Buffalo, NY 14222-1560 — (716) 697-8342

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307978-1 (NY)

Record details

NPI number1487105714
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGNP-BC
Sole proprietorYes
NPI enumeratedOctober 21, 2016
Last updated in NPPESJuly 2, 2024
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients186
Services billed 480 a service is one billed item, such as a visit, a test or a procedure
Average patient age82

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Trustees of Columbia University in the City of New York

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2250 clinicians in the practice; 12 are shown here.

Other providers in New York