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

Lisa Petronella Shock, PA

Individual provider Physician Assistant · NPI 1962439745

Lisa Petronella Shock, PA is a Physician Assistant in Raleigh, North Carolina. Licensed in North Carolina and Tennessee. Registered with an NPI since 2006.

Licensed in
NC, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4909 Green Rd
Raleigh, NC 27616-3418
Phone: (919) 790-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102885 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 6237 (TN)

Record details

NPI number1962439745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 28 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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