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

MS. Lisa Marie Hannon, MSNAPRNWHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1407652431

MS. Lisa Marie Hannon, MSNAPRNWHNP-BC is a Nurse Practitioner in Richland, Michigan. Graduated from Georgetown University School of Medicine in 2024, 2 years ago. Practices with Advanced Gynecology Specialist of Marshall PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Georgetown University School of Medicine
Licensed in
MI
In the registry since
2025

Practice location Address checks out

5892 Hidden Oak Ave
Richland, MI 49083-8214
Phone: (210) 710-1926
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 4704398724 (MI)

Record details

NPI number1407652431
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNAPRNWHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Advanced Gynecology Specialist Of Marshall Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount