Individual provider Active NPI

Lisa Marie Coontz

  • Family Nurse Practitioner
  • Crossville, TN
National Provider Identifier
1023169836
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000012214 Issued in TN
Practice address
421 S Main St
Crossville, TN 38555
Phone
(865) 675-7522
Fax
(865) 671-3196
NPI assigned
Jan 16, 2007
Last updated
May 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000012214 TN Primary

Addresses

Primary practice location

421 S Main St
Crossville, TN 38555

Mailing address

920 View Harbour Rd
Knoxville, TN 37934-7006
Phone (865) 966-3529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070827000509 TN Practitioner - Nurse Practitioner 6305938911 Reassigns benefits to 1 organization
I20230504001359 DC Practitioner - Nurse Practitioner 6305938911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000012214TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jan 1, 2016 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Apr 1, 2023 Accepting new patients
Mountain Valley RX 05 Inc Past Accepting new patients
Uhs Ventures PastSince Jul 24, 2022 Accepting new patients
Adventist Healthcare Fort Washington Medical Center Inc Past Accepting new patients

Locations

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1023169836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 VIEW HARBOUR RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379347006",
            "telephone_number": "865-966-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "865-675-7522",
            "fax_number": "865-671-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONTZ",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.