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

MS. Lisa Anne Ondersma, A-GNP

Individual provider Gerontology Nurse Practitioner · NPI 1457801250

MS. Lisa Anne Ondersma, A-GNP is a Nurse Practitioner in Holland, Michigan. Qualified in 2015, 11 years ago. Practices with Lakewood Family Medicine PLC, a 19-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

382 N 120th Ave
Holland, MI 49424-2169
Phone: (616) 396-6516
Fax: (616) 396-2513
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 4704288316 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704288316 (MI)

Record details

NPI number1457801250
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lakewood Family Medicine Plc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holland