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

MS. Lisa S Mancuso, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1093751711

MS. Lisa S Mancuso, CRNP is a Nurse Practitioner in Plymouth Meeting, Pennsylvania. Qualified in 1995, 31 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

523 Plymouth Rd
Plymouth Meeting, PA 19462-1656
Phone: (215) 956-5110
Show map & directions

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

Additional practice locations (1)

  • 1035 W Berks St, Philadelphia, PA 19122-1909 — (215) 765-6690

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence UP006270C (PA)

Record details

NPI number1093751711
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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