Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Lisa Ann Pullum, DO

Interventional Pain Medicine Physician in Greenville, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063476604

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Registry record

Entity type Individual (Type 1)

Name Lisa Ann Pullum

Credential DO

Sex Female

Practice address 6896 S Greenville Rd Ste 100, Greenville, MI, 48838

Phone (616) 754-5036

Fax (616) 754-4380

Enumeration date Apr 12, 2006

Last updated in NPPES Apr 2, 2025

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 5101013172 (MI) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 5101013172 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
3743669	Other	-	CIGNA
7000027121	Other	MI	PRIORITY HEALTH
30230	Other	-	HEALTH PLAN OF MICHIGAN
7681459	Other	-	AETNA
555590041	Other	MI	BCBSM
7000027121	Other	-	PRIORITY HEALTH MEDICAID
4802689-11	Medicaid	MI	-
050067089	Other	-	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Lisa Pullum's NPI record?

Cross-check NPI 1063476604 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1063476604 active?

Yes, as of the latest NPPES snapshot, NPI 1063476604 is active (record last updated 2025-04-02).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-02.