Individual provider Active NPI

Lisa Ann McCall, NP

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1184028425
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75994 Issued in KS
Practice address
310 S Hillside St
Wichita, KS 67211-2129
Phone
(316) 264-3505
Fax
(316) 264-0908
NPI assigned
Oct 15, 2014
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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 53-75994 KS Primary

Addresses

Primary practice location

310 S Hillside St
Wichita, KS 67211-2129

Mailing address

310 S Hillside St
Wichita, KS 67211-2129
Phone (316) 264-3505

Other names 1

  • Lisa Ann Choate Burk Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords@idckansas.com
Direct Messaging Address medicalrecords@idckansas.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20141204002072 KS Practitioner - Nurse Practitioner 2961724711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

Practice addresses (Care Compare)

17500 W 119TH St
Olathe, KS 66061-9524
Phone (913) 213-1686

2727 N Rock Rd
Wichita, KS 67226-1142
Phone (316) 636-1000

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-75994KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Post Acute Medical Services 1 PA CurrentSince Dec 1, 2022 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 1, 2022 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients
Kansas Inpatient Services, LLC Past Accepting new patients
Kansas Long Term Care Physicians, LLC PastSince Feb 11, 2013 Accepting new patients

Locations

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Organizations & group practices 6

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 1

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": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1184028425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112129",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "2100 N Waldron St Ste 5",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@idckansas.com",
            "affiliation": "N",
            "address_1": "310 S Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672112129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BURK",
            "middle_name": "ANN CHOATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.