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

Lisa Wallin, ANP-C, CWS

Individual provider Wound Care Registered Nurse · NPI 1114933421

Lisa Wallin, ANP-C, CWS is a Nurse Practitioner in Rochester, New York. Qualified in 1999, 27 years ago. Practices with University of Rochester, a 962-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006
Specialties on file
3

Practice location Address checks out

160 Sawgrass Dr Ste 130
Rochester, NY 14620-4655
Phone: (585) 262-9100
Fax: (585) 256-2046
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 302641 (NY)
Wound Care Registered Nurse Taxonomy 163WW0000X · Licence 30302641 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 302641 (NY)

Record details

NPI number1114933421
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-C , CWS
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 5, 2023
Certification dateMay 13, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare