Lisanne Ryner Burkholder, MD FACP FRACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G84136 Issued in CA

Practice address

10978 Donner Pass Rd
Truckee, CA 96161-0433

Phone

(530) 582-1212

Fax

(530) 582-1171

NPI assigned

Oct 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032

  CA

  Medicare reassignment Care Compare group NPD
• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780

  CA

  Medicare reassignment NPD
• Last Frontier Healthcare District

  • Skilled Nursing Facility
  • Alturas, CA
  • NPI 1326146333
  Care Compare group
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Canby, CA
  • NPI 1376164749
  Care Compare group
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064
  Care Compare group
• Last Frontier Healthcare District

  • Community/Retail Pharmacy
  • Alturas, CA
  • NPI 1841739703
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Last Frontier Healthcare District

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032

  Hospital

  Care Compare affiliation
• Last Frontier Healthcare District

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation

Specialty

Internal Medicine

Education

University of California, San Francisco School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Last Frontier Healthcare District 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Modoc Medical Center Hospital, Alturas, CA, CCN 051330
• Modoc Medical Center Nursing home, CCN 05Z330

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1124338116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "530-582-1212",
            "fax_number": "530-582-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "530-582-1212",
            "fax_number": "530-582-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "LISANNE",
        "middle_name": "RYNER",
        "name_prefix": "Dr.",
        "credential": "MD FACP FRACP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G84136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Brown, DPT
• Grant Anderson Brownell
• Brianna Brownfield, LAC, MTCM
• Kirsten Brutzman-Livak
• Daniel Gordon Buchanan, PA-C
• Laura Jane Burley
• C. Gregory Jellinek, M.D., a Medical Corporation
• Carissa Giordani Cahill
• Zoe K Cahill, LMP
• California Emergency Physicians Medical Group, a Professional Corp

• All providers in Truckee, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.