Individual provider Active NPI

Lisa Lynn Geurink, D.O.

  • Chiropractor
  • Durant, IA
National Provider Identifier
1104926260
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05230 Issued in IA
Practice address
902 5TH St
Durant, IA 52747
Phone
(563) 785-6511
Fax
(563) 785-6347
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05230 IA Primary

Addresses

Primary practice location

902 5TH St
Durant, IA 52747

Mailing address

902 5TH St
PO Box 715
Durant, IA 52747-0715
Phone (563) 785-6511

Other identifiers 5

IdentifierTypeStateIssuer
421352832OtherMARSH ADVANTAGE
P00298398OtherPALMETO GBA/RR MEDIARE
10590OtherMIDLANDS CHOICE
25944OtherBLUE CROSS/ BLUE SHIELD
IA0104OtherJOHN DEERE HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120104000061 IA Practitioner - Chiropractic 2769476688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melissa Kelling PLLCGroup PAC ID 1850705443, 3 clinicians

Practice addresses (Care Compare)

902 5TH St
Durant, IA 52747-7735
Phone (563) 785-6511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A05230IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Kelling PLLC Chiropractor CurrentSince Mar 29, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104926260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 5TH ST",
            "address_2": "PO BOX 715",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527470715",
            "telephone_number": "563-785-6511",
            "fax_number": "563-785-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 5TH ST",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "52747",
            "telephone_number": "563-785-6511",
            "fax_number": "563-785-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEURINK",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARSH ADVANTAGE",
            "identifier": "421352832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETO GBA/RR MEDIARE",
            "identifier": "P00298398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "10590",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "25944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "IA0104",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.