Individual provider Active NPI

Lisa Pena Miller, ANP-C

  • Community Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1093049173
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
AP05930 Issued in LA
Practice address
2390 W Congress St
Lafayette, LA 70506-4205
Phone
(337) 261-6759
Fax
(337) 261-6795
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X AP05930 LA Primary

Addresses

Primary practice location

2390 W Congress St
Lafayette, LA 70506-4205

Mailing address

414 Woodvale Ave
Lafayette, LA 70503-3434
Phone (337) 326-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20110818000073 LA Practitioner - Nurse Practitioner 8022287580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Island Side Health LLC CurrentSince Jan 5, 2025 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jun 6, 2021 Accepting new patients
Lafayette General Medical Center Inc CurrentSince Sep 1, 2020 Accepting new patients
University Hospital & Clinics, Inc. Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Sep 1, 2020 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 2, 2017 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 2, 2017 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Jun 6, 2021 Accepting new patients
Lafayette General Medical Center Inc. Current Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

601 W Saint Mary Blvd
Ste 4
Lafayette, LA 70506
Phone (337) 233-3731

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

102 Independence Blvd
Lafayette, LA 70506
Phone (337) 277-8345

Interoperability endpoints

  • Direct secure messaging: lmiller1443329@direct.ochsner.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1093049173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WOODVALE AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033434",
            "telephone_number": "337-326-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-6759",
            "fax_number": "337-261-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "PENA",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "LA",
            "license": "AP05930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.