Individual provider Active NPI

Lisa Marie Wooten, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1033469366
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3007613 Issued in KY
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

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100218830MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121117000102 KY Practitioner - Nurse Practitioner 0547411761 Reassigns benefits to 3 organizations

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

3950 Kresge Way
Suite 207
Louisville, KY 40207-4637
Phone (502) 893-0220

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Breckinridge Memorial Hospital Hospital, Hardinsburg, KY, CCN 181319

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 7, 2023 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Jul 8, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jul 8, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 30

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

View all 30

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

Verify at the official NPI Registry.