Individual provider Active NPI

Lisa Michelle Isaacs, FNP

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1285936377
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71003460A Issued in IN
Practice address
520 Mary St Ste 340
Evansville, IN 47710-1679
Phone
(812) 450-6700
Fax
(812) 450-6710
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71003460A IN
Family Nurse Practitioner 363LF0000X 3007272 KY
Nurse Practitioner 363L00000X 71003460A IN Primary

Addresses

Primary practice location

520 Mary St Ste 340
Evansville, IN 47710-1679

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6700

Other identifiers 1

IdentifierTypeStateIssuer
201004950MedicaidIN

Other names 1

  • Lisa M Porter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110301000750 IN Practitioner - Nurse Practitioner 6204017908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-2239

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71003460AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic Inc. Nurse Practitioner CurrentSince Jul 1, 2012 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner CurrentSince Aug 12, 2019 Accepting new patients
Deaconess Hospital, Inc Nurse Practitioner Current Accepting new patients
Deaconess Hospital Inc Nurse Practitioner CurrentSince Aug 12, 2019 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Jul 1, 2012 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

520 Mary St
Ste 340
Evansville, IN 47710
Phone (812) 450-3201

520 Mary St
Ste 330
Evansville, IN 47710
Phone (812) 426-9894

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

4133 Gateway Blvd
Ste 290
Newburgh, IN 47630
Phone (812) 842-2701

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: lporter57180@direct.deaconess.com

Organizations & group practices 6

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 3

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1285936377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6700",
            "fax_number": "812-450-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST STE 340",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101679",
            "telephone_number": "812-450-6700",
            "fax_number": "812-450-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003460A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007272",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003460A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201004950",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PORTER",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.