Lisa K Hoehn, FNP

Individual provider Active NPI Family Nurse Practitioner · Flomaton, AL

NPI 1124015847 · NPPES record last updated Jul 21, 2011

Key facts

NPI
1124015847
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1-130280 (AL)
Practice address
174 Highway 113
Flomaton, AL 36441-4556
Phone
(251) 296-2456
Fax
(251) 296-0320
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Experts PLLC (9 clinicians)

Practice addresses (Care Compare)

215 Hawks Rd
Suite 11
Martin, TN 38237-2742
Phone (731) 286-1510

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital · Jackson, TN · CCN 440002

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AL, TN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110809000751 AL Practitioner - Nurse Practitioner 4587664453
I20210222002054 TN Practitioner - Nurse Practitioner 4587664453 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-130280ALMDFamily Nurse Practitioner
R866285MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
D.W. McMillan Memorial Hospital Current Accepting new patients
Ochsner Mississippi, LLC Current
since Oct 17, 2021
Accepting new patients
Kidney Experts PLLC Current
since Jan 19, 2021
Accepting new patients
D.W. McMillan Memorial Hospital Past Accepting new patients

Locations

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456

2712 Criswell Ave
Pascagoula, MS 39567
Phone (228) 696-9690

11762 Douglass St
Ste 103
Arlington, TN 38002
Phone (248) 304-7009

1995 Highway 51 S
Ste 208
Covington, TN 38019
Phone (901) 476-7070

1575 Parr Ave
Ste B
Dyersburg, TN 38024
Phone (731) 286-1510

221 Sterling Farm Dr
Jackson, TN 38305
Phone (731) 668-1199

160 W University Pkwy
Ste Cd
Jackson, TN 38305

215 Hawks Rd
Ste 11
Martin, TN 38237
Phone (731) 286-1510

1117 S Miles Ave
Ste 6
Union City, TN 38261
Phone (713) 884-0914

Interoperability endpoints

  • Direct secure messaging: lhoehn37470@direct.davitaphysiciansolutions.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R866285 MS
Family Nurse Practitioner 363LF0000X 1-130280 AL Yes

Addresses

Primary practice location

174 Highway 113
Flomaton, AL 36441-4556

Mailing address

PO Box 997
Flomaton, AL 36441-0997
Phone (251) 296-2456

Other identifiers

IdentifierTypeStateIssuer
P00368675OtherMSRAILROAD MEDICARE
00127119MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2011.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1124015847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364410997",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HIGHWAY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364414556",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R866285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00368675",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00127119",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flomaton, AL

All providers in Flomaton, AL · Family Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.