Individual provider Active NPI

Lisa Marie Grubbs, CNP

  • Primary Care Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1215435912
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2294514 Issued in MA
Practice address
687 W Main St
Hyannis, MA 02601-3421
Phone
(087) 718-1145
NPI assigned
Jan 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN2294514 MA
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X RN2294514 MA Primary

Addresses

Primary practice location

687 W Main St
Hyannis, MA 02601-3421

Mailing address

242 Raynor Ave
Whitman, MA 02382-2152
Phone (617) 688-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20181106000724 MA Practitioner - Nurse Practitioner 6305199589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cape Cod Primary Care LLCGroup PAC ID 5496014300, 7 clinicians

Practice addresses (Care Compare)

10 Osterville W Barnstable Rd
Osterville, MA 02655-1549
Phone (508) 428-2620

Hospital & facility affiliations

  • Vna of Cape Cod Home health agency, South Dennis, MA, CCN 227067
  • Bayada Home Health Care , Inc Home health agency, Hyannis, MA, CCN 227466
  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Primary Care LLC Single Specialty CurrentSince Oct 3, 2018 Accepting new patients
Osterville Health Care PC Single Specialty Current Accepting new patients

Locations

687 W Main St
Hyannis, MA 02601
Phone (508) 428-8114

10 Osterville West Barnstable Rd
Osterville, MA 02655
Phone (508) 428-2620

Interoperability endpoints

  • Direct secure messaging: lisa.grubbs@ccpcllc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBGAA/Endpoint/EHBGAA

Organizations & group practices 2

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 7

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1215435912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 RAYNOR AVE",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023822152",
            "telephone_number": "617-688-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 W MAIN ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013421",
            "telephone_number": "087-718-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2294514",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2294514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.