Individual provider Active NPI

Lisa M. Eno, FNP

  • Family Nurse Practitioner
  • Fort Kent, ME
National Provider Identifier
1003898677
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP081368 Issued in ME
Practice address
197 East Main Street
Suite 101
Fort Kent, ME 04743
Phone
(207) 834-6784
Fax
(207) 834-2967
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP081368 ME Primary
Family Nurse Practitioner 363LF0000X R034632 ME

Addresses

Primary practice location

197 East Main Street
Suite 101
Fort Kent, ME 04743

Mailing address

194 East Main Street
Fort Kent, ME 04743
Phone (207) 834-6784

Other identifiers 3

IdentifierTypeStateIssuer
999010617MedicaidME
D46407OtherANTHEM
266740099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050624000031 ME Practitioner - Nurse Practitioner 8325083959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.42 of 100Reported as group
Quality
52.16
Promoting interoperability
94
Improvement activities
40
Cost
67.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP081368MEMDFamily Nurse Practitioner
R034632MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Medical Center CurrentSince Nov 5, 1997 Accepting new patients
Northern Maine Medical Center CurrentSince Nov 5, 1997 Accepting new patients
Northern Maine Medical Center Past Accepting new patients
Northern Maine Medical Center Past Accepting new patients
Northern Maine Medical Center Past Accepting new patients

Locations

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

460 Main St
Ste 104
Madawaska, ME 04756
Phone (207) 728-6359

460 Main St
Ste 201
Madawaska, ME 04756
Phone (207) 728-7300

Interoperability endpoints

  • Direct secure messaging: leno@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1003898677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 EAST MAIN STREET",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "04743",
            "telephone_number": "207-834-6784",
            "fax_number": "207-834-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 EAST MAIN STREET",
            "address_2": "SUITE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "04743",
            "telephone_number": "207-834-6784",
            "fax_number": "207-834-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENO",
        "first_name": "LISA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081368",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R034632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999010617",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "D46407",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266740099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Kent, ME

Sources for this page

Verify at the official NPI Registry.