Active NPI
Lisa Marie Wooten, APRN
- Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3007613
- Practice address
- 4402 Churchman Ave Ste 201
Louisville, KY 40215-3100 - Phone
- (502) 416-0207
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007613 | KY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 3007613 | KY |
Addresses
Primary practice location
4402 Churchman Ave Ste 201
Louisville, KY 40215-3100
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 416-0207
Other practice location 1
1900 Bluegrass Ave
Suite 103
Louisville, KY 40215-1144
Phone (502) 367-4500
Other practice location 2
2401 Terra Crossing Blvd Ste 410
Louisville, KY 40245-5371
Phone (502) 888-1988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100218830 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Louisville School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3950 Kresge Way
Suite 207
Louisville, KY 40207-4637
Phone (502) 893-0220
Hospital & facility affiliations
- Baptist Health Louisville
- UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital
- Baptist Health Lagrange
- Baptist Health Hardin
- Breckinridge Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
1919 State St
Ste 240
New Albany, IN 47150
Phone (812) 945-4193
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4402 Churchman Ave
Ste 201
Louisville, KY 40215
Phone (502) 367-8121
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
4402 Churchman Ave
Ste 202
Louisville, KY 40215
Phone (502) 636-3134
2401 Terra Crossing Blvd
Ste 410
Louisville, KY 40245
Phone (502) 452-9567
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
3950 Kresge Way
Ste 207
Louisville, KY 40207
Phone (502) 893-0220
1900 Bluegrass Ave
Ste 103
Louisville, KY 40215
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lwooten28067@uoflhealth-dm.org
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
Nurse Practitioner
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Pulmonary Disease Physician
- Louisville, KY
- NPI 1821363938
Hospital & facility affiliations 30
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- Critical Access Hospital
- Hardinsburg, KY
- NPI 1104828383
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1013784859
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1033752704
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1093341497
-
- Rehabilitation Hospital Unit
- Louisville, KY
- NPI 1104469873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1033469366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-416-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 CHURCHMAN AVE STE 201",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402153100",
"telephone_number": "502-416-0207"
}
],
"practiceLocations": [
{
"address_1": "1900 Bluegrass Ave",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402151144",
"country_code": "US",
"telephone_number": "502-367-4500",
"fax_number": "502-368-8139",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 Terra Crossing Blvd Ste 410",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402455371",
"country_code": "US",
"telephone_number": "502-888-1988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOTEN",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-13",
"last_updated": "2021-05-18",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007613",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3007613",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100218830",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.