Individual provider Active NPI

Lisa A. Helmerich, NP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1104052018
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002970A Issued in IN
Practice address
1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone
(812) 477-7246
Fax
(812) 477-7240
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006312 KY
Family Nurse Practitioner 363LF0000X 71002970A IN Primary

Addresses

Primary practice location

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018

Mailing address

1101 Professional Blvd Ste 100
Evansville, IN 47714-8018
Phone (812) 477-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090831000633 IN Practitioner - Nurse Practitioner 2163577982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

931 Ridge Rd
Suite B
Munster, IN 46321-1756
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002970AINMDFamily Nurse Practitioner
3006312KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC CurrentSince Apr 5, 2020 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Apr 5, 2020 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

9778 E US Highway 36
Avon, IN 46123

2920 S McIntire Dr
Ste 100A
Bloomington, IN 47403

2556 Waterbridge Way
Evansville, IN 47710

7230 Engle Rd
Ste 302
Fort Wayne, IN 46804

973 Emerson Pkwy
Ste D
Greenwood, IN 46143
Phone (317) 585-5730

8330 Naab Rd
Ste 230
Indianapolis, IN 46260

5118 E Lincoln Hwy
Merrillville, IN 46410

360 Dunes Plz
Michigan City, IN 46360

3665 Park Pl W
Ste 300
Mishawaka, IN 46545
Phone (574) 314-6436

3411 N Briarwood Ln
Muncie, IN 47304
Phone (317) 870-1970

931 Ridge Rd
Ste B
Munster, IN 46321
Phone (219) 301-5477

306 Ridge Rd
Munster, IN 46321

5787 S US Highway 41
Terre Haute, IN 47802
Phone (812) 219-5702

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1104052018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PROFESSIONAL BLVD STE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148018",
            "telephone_number": "812-477-7246",
            "fax_number": "812-477-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMERICH",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.