Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Lisa Ann Tiebauer, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1700069044

Mrs. Lisa Ann Tiebauer, PMHNP-BC is a Nurse Practitioner in Jacksonville, North Carolina. Qualified in 2005, 21 years ago. Practices with Coastal Carolina Neuropsychiatric Center PA, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2007
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

200 Tarpon Trl
Jacksonville, NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5005198 (NC)

Record details

NPI number1700069044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 10, 2007
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Coastal Carolina Neuropsychiatric Center Pa — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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 patients165
Services billed 668 a service is one billed item, such as a visit, a test or a procedure
Average patient age59

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.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $2,790 224 payments · a meal or drink at a meeting or visit, not a fee
Education $8 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Coastal Carolina Neuropsychiatric Center PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 28 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville