Individual provider Active NPI

Lisa Marie Edgerton, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lansing, MI
National Provider Identifier
1093816266
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
5101013599 Issued in MI
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 253-6320
Fax
(517) 253-6321
NPI assigned
Sep 26, 2006
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X OS 8636 FL
Internal Medicine Physician 207R00000X 5101013599 MI
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 5101013599 MI Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

114 NE 107TH St
Miami Shores, FL 33161-7032
Phone (786) 390-8684

Other identifiers 1

IdentifierTypeStateIssuer
2647761 00MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051212000318 MI Practitioner - HospitalistPractitioner - Family PracticePractitioner - Internal Medicine 0648207084 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice, Internal Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Hospitalists PCGroup PAC ID 2365860996, 76 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 8636FLMDAdult Medicine Physician
5101013599MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians Medical Group of Michigan, PC Hospitalist CurrentSince Apr 14, 2018 Accepting new patients
Sparrow Ionia Hospital CurrentSince Aug 19, 2014 Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 19, 2014 Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 19, 2014 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC CurrentSince Apr 14, 2018 Accepting new patients
Vituity - Michigan Hospitalists PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Sparrow Ionia Hospital Internal Medicine CurrentSince Aug 19, 2014 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
St. Mary's Health Inc Past Accepting new patients
Lisa Edgerton DO PA Adult Medicine PastSince Oct 31, 2005 Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1093816266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NE 107TH ST",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331617032",
            "telephone_number": "786-390-8684",
            "fax_number": "305-654-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-253-6320",
            "fax_number": "517-253-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS 8636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013599",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101013599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647761 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.