Lisa Ann Pullum, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

5101013172 Issued in MI

Practice address

6896 S Greenville Rd Ste 100
Greenville, MI 48838-1081

Phone

(616) 754-5036

Fax

(616) 754-4380

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Philadelphia College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagannathan Neurosurgical Institute PLLC 11 clinicians

Sheridan Community Hospital 18 clinicians

Partners in Pain and Spine PLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312
• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Merit-based Incentive Payment System (MIPS)

Final score

41.31 of 100Reported as group

Quality

42.97

Improvement activities

0

Cost

72.26

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Partners in Pain and Spine PLC

  • Pain Medicine (Anesthesiology) Physician
  • Greenville, MI
  • NPI 1780428318

  MI, Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1356680912

  Interventional Pain Medicine, MI

  Medicare reassignment Care Compare group NPD
• Sheridan Community Hospital

  • Emergency Medicine Physician
  • Sheridan, MI
  • NPI 1528090594

  MI

  Medicare reassignment Care Compare group
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Mount Pleasant, MI
  • NPI 1093521080
  Care Compare group NPD
• Sheridan Community Hospital

  • Rural Health Clinic/Center
  • Sheridan, MI
  • NPI 1740372754
  Care Compare group NPD (past)
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Bay City, MI
  • NPI 1154969004
  Care Compare group
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • West Branch, MI
  • NPI 1326412628
  Care Compare group
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Sault Sainte Marie, MI
  • NPI 1447615026
  Care Compare group
• Sheridan Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Sheridan, MI
  • NPI 1225072853
  Care Compare group
• Sheridan Community Hospital

  • Critical Access Hospital
  • Sheridan, MI
  • NPI 1689618324
  Care Compare group
• Michigan Behavioral Consultants PC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1336153220
  NPD (past)

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

• Sheridan Community Hospital

  • Critical Access Hospital
  • Sheridan, MI
  • NPI 1689618324

  Hospital

  Care Compare affiliation
• Spectrum Health United

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1063476604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD STE 100",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-619-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD STE 100",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-754-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLUM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "5101013172",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101013172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3743669",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "7000027121",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "30230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7681459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "555590041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH MEDICAID",
            "identifier": "7000027121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4802689-11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050067089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Pohlman, RD
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• Aaron Lee Rackham, D.C.
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• Jack R Razmus, PHARMD

• All providers in Greenville, MI
• Interventional Pain Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.