Lisa W Gressel, MPAS, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000000727 Issued in TN

Practice address

119 E Fort St
Manchester, TN 37355-1508

Phone

(931) 728-4477

NPI assigned

Jan 10, 2007

Last updated

Aug 8, 2011By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Banyan Healthcare & Wellness Center, LLC

  • Pain Clinic/Center
  • Manchester, TN
  • NPI 1942381207
  NPD (past)
• Dr. David G. Florence

  dba Medical Enterprises

  • Family Medicine Physician
  • Manchester, TN
  • NPI 1235315946
  NPD (past)
• General Ultra Sound Imaging Center LLC

  • General Practice Physician
  • Manchester, TN
  • NPI 1417975863
  NPD (past)
• Tennessee Urgent Care Associates, LLC

  • Urgent Care Clinic/Center
  • Nashville, TN
  • NPI 1548258825

  Medical

  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1083763817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E FORT ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551508",
            "telephone_number": "931-728-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E FORT ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551508",
            "telephone_number": "931-728-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSEL",
        "first_name": "LISA",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509873",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4191422",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Renee Gipson
• Glenn a Davis, MD (RHC)
• Kristy Leann Goad-Boyd, PHARM D
• Cynthia Anne Gray
• Vanessa Streicher Green, DO
• Dawn Hafer, D.PH.
• Christy J Hager, FNP
• Regina Hale
• Christen Marie Hambly, LPN
• Janet Hanna

• Medical Physician Assistant in Manchester, TN
• Providers in Manchester, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.