Individual provider Active NPI

Lynn Dishman, FNP

  • Nurse Practitioner
  • Sumner, TX
National Provider Identifier
1225676703
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
144379 Issued in TX
Practice address
12516 Farm Road 79
Sumner, TX 75486-5534
Phone
(903) 491-1234
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 144379 TX Primary

Addresses

Primary practice location

12516 Farm Road 79
Sumner, TX 75486-5534

Mailing address

12516 Farm Road 79
Sumner, TX 75486-5534
Phone (903) 491-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200805001067 TX Practitioner - Nurse Practitioner 3476978669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khalid Shafiq, M.D. , P.a.Group PAC ID 2466641998, 3 clinicians

Practice addresses (Care Compare)

1775 Farm Rd
Suite 195
Paris, TX 75462-2855
Phone (903) 739-2700

2620 Spur
Suite 139
Paris, TX 75462-2200
Phone (903) 783-1444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.64 of 100Reported as group
Quality
71.17
Promoting interoperability
76
Improvement activities
40
Cost
68.4

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144379TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Khalid Shafiq, M.D. , P.a. Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
PRMC Healthcare Group Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

1055 Clarksville St
Ste 185
Paris, TX 75460
Phone (903) 739-7461

1775 Farm Road 195
Paris, TX 75462
Phone (903) 739-2700

2620 Spur 139
Paris, TX 75462
Phone (903) 739-2700

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4
  • Direct secure messaging: ldishman249392@christushealth.direct-ci.net
  • Direct secure messaging: lynn.dishmannp.p1@direct.pariscardiology.nextgenshare.com

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.

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1225676703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12516 FARM ROAD 79",
            "city": "SUMNER",
            "state": "TX",
            "postal_code": "754865534",
            "telephone_number": "903-491-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12516 FARM ROAD 79",
            "city": "SUMNER",
            "state": "TX",
            "postal_code": "754865534",
            "telephone_number": "903-491-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "144379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, TX

Sources for this page

Verify at the official NPI Registry.