Individual provider Active NPI

Lisa G New, NP

  • Nurse Practitioner
  • Akron, CO
National Provider Identifier
1265478465
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0993778-NP Issued in CO
Practice address
82 Main Ave
Akron, CO 80720-1440
Phone
(970) 345-6336
Fax
(970) 345-5475
NPI assigned
Jun 22, 2006
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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 APN.0993778-NP CO Primary

Addresses

Primary practice location

82 Main Ave
Akron, CO 80720-1440

Mailing address

82 Main Ave
Akron, CO 80720-1440
Phone (970) 345-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100318000440 MO Practitioner - Nurse Practitioner 8729113519 Reassigns benefits to 1 organization
I20120918000394 KS Practitioner - Nurse Practitioner 8729113519 Reassigns benefits to 1 organization
I20201201000080 TX Practitioner - Nurse Practitioner 8729113519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White Earth Indian Health CenterGroup PAC ID 1658367925, 36 clinicians

Practice addresses (Care Compare)

40520 County Hwy 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0993778-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center CurrentSince May 22, 2023 Accepting new patients
Woodrow Wilson Keeble Memorial Health Care Center CurrentSince Oct 13, 2020 Accepting new patients
Pine Point Health Station Current Accepting new patients
Naytahwaush Health Center CurrentSince May 22, 2023 Accepting new patients

Locations

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

100 Lake Traverse Dr
Sisseton, SD 57262

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1265478465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MAIN AVE",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807201440",
            "telephone_number": "970-345-6336",
            "fax_number": "970-345-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN AVE",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807201440",
            "telephone_number": "970-345-6336",
            "fax_number": "970-345-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEW",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993778-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, CO

Sources for this page

Verify at the official NPI Registry.