Individual provider Active NPI

Lisa Diann Beyers, APRN

  • Family Nurse Practitioner
  • Oaktown, IN
National Provider Identifier
1104538685
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013389A Issued in IN
Practice address
200 W 4TH St
Oaktown, IN 47561-8081
Phone
(812) 589-5589
NPI assigned
Dec 16, 2022
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013389A IN Primary

Addresses

Primary practice location

200 W 4TH St
Oaktown, IN 47561-8081

Mailing address

4118 Rodenberg Ave
Evansville, IN 47720-6231
Phone (812) 589-5589

Other practice location 1

1909 W Franklin St
Evansville, IN 47712-5110
Phone (812) 456-9736

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
I20231120002131 IN Practitioner - Nurse Practitioner 1850527367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carol Ann Goodman MD LLCGroup PAC ID 8628253879, 5 clinicians

Practice addresses (Care Compare)

1909 W Franklin St
Evansville, IN 47712-5110
Phone (812) 456-9736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
60.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013389AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Ann Goodman MD LLC Family Medicine CurrentSince Sep 16, 2024 Accepting new patients
Chestnut Health of Indiana PC CurrentSince Oct 17, 2023 Accepting new patients
West Side Family Medicine LLC Family Medicine Past Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

1909 W Franklin St
Evansville, IN 47712
Phone (812) 456-9736

3518 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0358

Interoperability endpoints

  • Direct secure messaging: lbeyers207772@direct.deaconess.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1104538685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 RODENBERG AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477206231",
            "telephone_number": "812-589-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 4TH ST",
            "city": "OAKTOWN",
            "state": "IN",
            "postal_code": "475618081",
            "telephone_number": "812-589-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 W Franklin St",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477125110",
            "country_code": "US",
            "telephone_number": "812-456-9736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYERS",
        "first_name": "LISA",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013389A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oaktown, IN

Sources for this page

Verify at the official NPI Registry.