Individual provider Active NPI

Vladimir Lisser, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Denver, CO
National Provider Identifier
1033968425
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0999740-NP Issued in CO
Practice address
1260 S Parker Rd Ste 201
Denver, CO 80231-8068
Phone
(303) 802-5444
NPI assigned
May 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0999740-NP CO Primary
Adult Health Nurse Practitioner 363LA2200X APN.0999740-NP CO
Gerontology Nurse Practitioner 363LG0600X APN.0999740-NP CO

Addresses

Primary practice location

1260 S Parker Rd Ste 201
Denver, CO 80231-8068

Mailing address

1260 S Parker Rd Ste 201
Denver, CO 80231-8068
Phone (303) 802-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250618000011 CO Practitioner - Nurse Practitioner 7517478332 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elena Anisimova, MD, PC CurrentSince Mar 7, 2025 Accepting new patients

Locations

1260 S Parker Rd
Ste 201
Denver, CO 80231
Phone (303) 522-0425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16716/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1033968425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318068",
            "telephone_number": "303-802-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S PARKER RD STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802318068",
            "telephone_number": "303-802-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSER",
        "first_name": "VLADIMIR",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0999740-NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0999740-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0999740-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.