Individual provider Active NPI

Lisa M Jansen, A.R.N.P

  • Gerontology Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1255644233
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
J-115062 Issued in IA
Practice address
2850 Westown Pkwy
West Des Moines, IA 50266-1301
Phone
(515) 224-5225
Fax
(515) 224-5235
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115062 IA
Gerontology Nurse Practitioner 363LG0600X J-115062 IA Primary

Addresses

Primary practice location

2850 Westown Pkwy
West Des Moines, IA 50266-1301

Mailing address

1200 Pleasant
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

1221 Pleasant St
Suite 200
Des Moines, IA 50309-1423
Phone (515) 241-8221

Other practice location 2

1221 Pleasant St
Suite 200
Des Moines, IA 50309-1423
Phone (515) 241-8221

Other identifiers 1

IdentifierTypeStateIssuer
1255644233MedicaidIA

Other names 1

  • Lisa M Abbott Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20101105001209 IA Practitioner - Nurse Practitioner 8527253350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

  • Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
83.65
Promoting interoperability
78
Improvement activities
40
Cost
76.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115062IAMDOccupational Therapist
J-115062IAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Jul 1, 2025 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Sep 28, 2017 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Sep 28, 2017 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1200 Pleasant St
Ste S228
Des Moines, IA 50309

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

1200 Pleasant St
Ste 3
Des Moines, IA 50309

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

1221 Pleasant St
Ste 200
Des Moines, IA 50309
Phone (515) 241-8221

2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225

Organizations & group practices 5

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 8

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255644233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT",
            "address_2": "SOUTH 2 ROOM 236",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661301",
            "telephone_number": "515-224-5225",
            "fax_number": "515-224-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Pleasant St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091423",
            "country_code": "US",
            "telephone_number": "515-241-8221",
            "fax_number": "515-241-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Pleasant St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091423",
            "country_code": "US",
            "telephone_number": "515-241-8221",
            "fax_number": "515-241-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "115062",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IA",
            "license": "J-115062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255644233",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ABBOTT",
            "middle_name": "M",
            "credential": "A.R.N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.