Lisa Marie Coleman, FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Le Mars, IA
NPI 1083348049 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1083348049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- A178622 (IA)
- Practice address
- 1 Blue Bunny Dr SW
Le Mars, IA 51031-2207 - Phone
- (712) 966-7200
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240605001443 | MN | Practitioner - Nurse Practitioner | 5193182954 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71012826A | IN | MD | Primary Care Nurse Practitioner |
| 11586 | MN | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Iowa PLLC | Current |
Accepting new patients | |
| CH Specialty Services Ia PC | Current |
Accepting new patients | |
| Curana Health of Minnesota PLLC | Current |
Accepting new patients |
Locations
200 16th Ave E
Spc Care
Albia, IA 52531
444 N West View Dr
Spc Care
Osceola, IA 50213
444 N West View Dr
Osceola, IA 50213
Phone (641) 342-6061
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
5123 W 98th St
Minneapolis, MN 55437
Phone (312) 961-4490
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | A178622 | IA | Yes |
| Primary Care Nurse Practitioner | 363LP2300X | 71012826A | IN | |
| Primary Care Nurse Practitioner | 363LP2300X | 11586 | MN |
Addresses
Primary practice location
1 Blue Bunny Dr SW
Le Mars, IA 51031-2207
Mailing address
2813 Lake Shore Dr
Okoboji, IA 51355-7726
Phone (260) 255-0190
Other providers in Le Mars, IA
- Scott Documents on Brown
- Calvin Richard Brutus
- Care1Nurses
- Maria E Catalan-Aquino
- Lori A Christoffersen
- Jennifer Conrad
- Cheryl Ann Cronin
- April Cruz
- Stacie Daily
- Jessica Davis
All providers in Le Mars, IA · Primary Care Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.