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

MS. Lisa Ann Deisch, PA-C

Individual provider Surgical Physician Assistant · NPI 1316653892

MS. Lisa Ann Deisch, PA-C is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1340 Walter Reed Rd Ste 202
Fayetteville, NC 28304-4451
Phone: (910) 504-3506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 615-3350
  • 1219 Walter Reed Rd, Fayetteville, NC 28304-4437 — (910) 615-3350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-13059 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X (NC)

Record details

NPI number1316653892
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

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 Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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