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

Lisa Shallis, CRNP

Individual provider Women's Health Nurse Practitioner · NPI 1679049597

Lisa Shallis, CRNP is a Nurse Practitioner in Newark, Delaware. Qualified in 2018, 8 years ago. Practices with The Delaware Center for Maternal and Fetal Medicine of Christiana Care, a 13-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
8
Licensed in
DE, PA
In the registry since
2018
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1 Centurian Dr Ste 312
Newark, DE 19713-2127
Phone: (302) 319-5680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 175 Martin Ave Ste 105, Ephrata, PA 17522-1761 — (866) 244-3492
  • 845 Helen Dr Ste 200, Lebanon, PA 17042-7493 — (866) 244-3492
  • 35 Monument Rd Ste 202, York, PA 17403-5074 — (717) 851-2722

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence LH-0010276 (DE)
Nurse Practitioner Taxonomy 363L00000X · Licence LH-0010276 (DE)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence SP019225 (PA)

Record details

NPI number1679049597
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Delaware Center For Maternal And Fetal Medicine Of Christiana Care — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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