Lisa L. Schramek, APN-BC, FPA

Key facts

NPI

1194928580

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

277000331 (IL)

Practice address

207 Matlock Dr
Saint James, MO 65559-1034

Phone

(573) 265-4889

Fax

(573) 265-0449

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641
  NPD (past)
• PC Associates LLC Internal Medicine Physician · O'Fallon, IL · NPI 1235452855
  NPD (past)
• PC Associates, LLC Family Medicine Physician · Dupo, IL · NPI 1437462637
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2022.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1194928580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MATLOCK DR",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591034",
            "telephone_number": "573-265-0448",
            "fax_number": "573-265-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MATLOCK DR",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591034",
            "telephone_number": "573-265-4889",
            "fax_number": "573-265-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAMEK",
        "first_name": "LISA",
        "middle_name": "L.",
        "credential": "APN-BC, FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209005405",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "277000331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

• Tricia L Phillips, LPC, NCC, CCJP
• Preventive Healthcare
• Emma Reichel
• Scattered Oaks Inc.
• Petra Christina Scholz Gould, LPC, NCC
• Hugh A Schuetz, D.O.
• Rebecca Lynn Semsrott, LPC
• Cara Sercl
• Janet Shepard, RN
• South Central Missouri Community Health Center

All providers in Saint James, MO · Primary Care Nurse Practitioner in Missouri