Lisa Brown, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Booker, TX
NPI 1275194169 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1275194169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP141952 (TX)
- Practice address
- 146 Pioneer Dr
Booker, TX 79005-6008 - Phone
- (806) 658-4531
- Fax
- (806) 658-9344
- NPI assigned
- Jun 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
112 Pioneer Dr
Booker, TX 79005-6008
146 Pioneer Dr
Booker, TX 79005-6008
Phone (806) 658-4531
Hospital & facility affiliations
- Beaver County Memorial Hospital
- Ochiltree General Hospital
- Bsa Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Teare Memorial Clinic |
Rural health clinic | Corporate Officer (95%) | Jul 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190826003455 | TX | Practitioner - Nurse Practitioner | 9830427012 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141952 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Booker Hospital District | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current |
Accepting new patients | |
| Yellow Ridge Healthcare LLC | Current |
Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Ochiltree Hospital District | Past | Accepting new patients |
Locations
146 Pioneer Dr
Booker, TX 79005
Phone (806) 658-4531
3101 Garrett Dr
Perryton, TX 79070
Phone (806) 435-3606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141952 | TX | Yes |
Addresses
Primary practice location
146 Pioneer Dr
Booker, TX 79005-6008
Mailing address
PO Box 550
Booker, TX 79005-0550
Phone (806) 658-4531
Other practice location 1
3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 435-7131
Other providers in Booker, TX
- Booker Hospital District
- Booker Hospital District
- Booker Hospital District Dba/Twin Oaks Manor
- Booker Independent School District
- Tina Marie Brooks
- Anna Ceniceros
- City of Booker Ambulance Service
- Jana Lanea Compean
- Candace Dawn Holmes
- Kevin Ray Walcher
All providers in Booker, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.