Patricia J. Lisinski, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001760A Issued in IN

Practice address

2510 Sandcrest Drive
Columbus, IN 47203

Phone

(812) 348-1000

Fax

(812) 418-0470

NPI assigned

Nov 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Patricia J. Kuykendall Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Dermatology LLCGroup PAC ID 1153380258, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: patriciajilllisinski@pdsltd.allscriptsdirect.net

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.

• Madison Dermatology LLC

  • Procedural Dermatology Physician
  • Madison, IN
  • NPI 1215007455
  Medicare reassignment Care Compare group
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

• Columbus Regional Hospital

  • General Acute Care Hospital
  • Columbus, IN
  • NPI 1104998624
  Care Compare affiliation

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1033419437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SANDCREST BLVD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033047",
            "telephone_number": "812-348-1000",
            "fax_number": "812-418-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SANDCREST DRIVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "47203",
            "telephone_number": "812-348-1000",
            "fax_number": "812-418-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISINSKI",
        "first_name": "PATRICIA",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001760A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "VV0559A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "KUYKENDALL",
            "middle_name": "J.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lincare Inc. (Lincare)
• Marianne Lindroth, M.D.
• Holly Linn, COTA
• Kaitlyn Lipshaw, RBT
• John David Lipson, M.D.
• Listen Hear LLC (Miracle Ear)
• Sherry Little, NP
• Living Waters Mental Health LLC
• Kimberly Lloyd, RBT
• Ann Gorbett Lobsiger

• Physician Assistant in Columbus, IN
• Providers in Columbus, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.