Lisa A. Zittergruen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-39307 Issued in IA

Practice address

901 Montgomery St
Decorah, IA 52101-2325

Phone

(563) 382-2911

Fax

(563) 382-4143

NPI assigned

Jun 3, 2009

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winneshiek Medical Center 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winnmed Hospital, Decorah, IA, CCN 161371
• Winnmed Nursing home, CCN 16Z371

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lzittergruen32448@ehrdirect.mayoclinicmsg.org
• Direct secure messaging: lzittergruen115355@uihcdirect.org

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.

• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051

  IA

  Medicare reassignment Care Compare group NPD
• Winneshiek Medical Center

  • Multi-Specialty Clinic/Center
  • Decorah, IA
  • NPI 1992854863

  IA

  Medicare reassignment Care Compare group NPD
• Winneshiek Medical Center

  • Primary Care Clinic/Center
  • Mabel, MN
  • NPI 1093857393

  MN

  Medicare reassignment Care Compare group NPD
• Winneshiek Medical Center

  • Community/Retail Pharmacy
  • Decorah, IA
  • NPI 1104507060
  Care Compare group NPD
• Winneshiek Medical Center

  • Community Based Hospice Care Agency
  • Decorah, IA
  • NPI 1225186638
  Care Compare group
• Winneshiek Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Decorah, IA
  • NPI 1366590796
  Care Compare group
• Winneshiek Medical Center

  • Home Health Agency
  • Decorah, IA
  • NPI 1467500876
  Care Compare group
• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1740339084
  Care Compare group
• Winneshiek Medical Center

  • Rehabilitation Clinic/Center
  • Decorah, IA
  • NPI 1811046659
  Care Compare group
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Family Medicine

  NPD (past)

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

• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1619922051

  Hospital

  Care Compare affiliation
• Winneshiek Medical Center

  • Critical Access Hospital
  • Decorah, IA
  • NPI 1740339084

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1043446149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTGOMERY ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012325",
            "telephone_number": "563-382-2911",
            "fax_number": "563-382-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTERGRUEN",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-39307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lzittergruen32448@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "901 Montgomery St",
            "city": "Decorah",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521012325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah J Wymer, MD
• Christian R. Wyse, DDS
• Phillip S Yee, MD
• Emily L Young Johnson, C.N.M.
• Kelli Zeimetz-Mehmert, SLP
• Kayla Mary Zoulek, HIS

• All providers in Decorah, IA
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.