Ernest Eugene Lissy, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200450135NP FNP-PP Issued in OR

Practice address

1375 N 10TH Ave
Stayton, OR 97383-2099

Phone

(503) 769-2641

Fax

(503) 769-3797

NPI assigned

Nov 10, 2005

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gene E Lissy Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ernest.lissy.p36@direct.medcor.nextgenshare.com

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

• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381

  OR

  Medicare reassignment NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1013998475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832099",
            "telephone_number": "503-769-2641",
            "fax_number": "503-769-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N 10TH AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973832099",
            "telephone_number": "503-769-2641",
            "fax_number": "503-769-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSY",
        "first_name": "ERNEST",
        "middle_name": "EUGENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200450135NP FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENE",
            "last_name": "LISSY",
            "middle_name": "E",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Benjamin Lee, D.O.
• Geng-Wei Lee
• Lindberg-Turner Medical Equipment, LLC (A Turning Leaf Home Medical)
• Bernadine Lynn Lindemann, EFDA
• Denese Lynn Lingle, LMT
• Rachel Loynes, THW, PSS, CRM
• Casey Lulay, FNP-C
• Ryan John Mackenzie, DPT
• Sabrina Mann, CADC-R
• Amara McGee

• Family Nurse Practitioner in Stayton, OR
• Providers in Stayton, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.