Individual provider Active NPI

Lisa Isenberg, MSN PNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bayfield, CO
National Provider Identifier
1144525957
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0991704NP Issued in CO
Practice address
231 S Clover Dr Ste 5
Bayfield, CO 81122-8833
Phone
(970) 403-4425
Fax
(763) 402-7597
NPI assigned
Jan 26, 2011
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2010041911 MO
Pediatric Nurse Practitioner 363LP0200X 2010041911 MO
Pediatric Nurse Practitioner 363LP0200X APN.0991704-NP CO
Pediatric Nurse Practitioner 363LP0200X C-APN.0000024-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0991704NP CO Primary

Addresses

Primary practice location

231 S Clover Dr Ste 5
Bayfield, CO 81122-8833

Mailing address

1 Mercado St
Suite 160
Durango, CO 81301-7306
Phone (970) 385-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20131219000647 CO Practitioner - Nurse Practitioner 2567642028 Practice locations: Bayfield, CO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 S Clover Dr
Bayfield, CO 81122-8722
Phone (970) 403-4425

231 S Clover Dr
Suite 5
Bayfield, CO 81122-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2010041911MOMDNurse Practitioner
C-APN.0000024-C-NPCOMDPediatric Nurse Practitioner
APN.0991704NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Grove Health Services, Inc Pediatrics CurrentSince Aug 10, 2025 Accepting new patients
Silver Fox Mental Health CurrentSince Aug 10, 2025 Accepting new patients
Mountain Health and Psychiatric Services, LLC Psychiatric/Mental Health Current Accepting new patients

Locations

231 S Clover Dr
Ste 5
Bayfield, CO 81122
Phone (970) 403-4425

90 Madison St
Ste 302
Denver, CO 80206
Phone (720) 331-6899

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1144525957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 160",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-385-9850",
            "fax_number": "970-385-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S CLOVER DR STE 5",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811228833",
            "telephone_number": "970-403-4425",
            "fax_number": "763-402-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "MSN PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2010041911",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2010041911",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.0991704-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "C-APN.0000024-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0991704NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

Verify at the official NPI Registry.