Active NPI
Lisa L Legere-Struntz, D.O.
- Family Medicine Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013022
- Practice address
- 400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6125 - Phone
- (517) 784-0588
- Fax
- (517) 784-3866
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013022 | MI | Primary |
Addresses
Primary practice location
400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6125
Mailing address
PO Box 67000
Department 272801
Detroit, MI 48267-0002
Phone (517) 841-6913
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080084532 | Other | MI | RAILROAD MEDICARE |
| 0853800375 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1678894 | Other | CIGNA HEALTHCARE | |
| 115188133 | Medicaid | MI | |
| 3257661 | Medicaid | MI |
Other names 1
- Lisa L Legere
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | llegerestruntz456356@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152
Phone (517) 205-8991
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101013022 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Family Medicine | Current | Accepting new patients |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
27931 C Dr N
Albion, MI 49224
Phone (517) 629-8311
400 Hinckley Blvd
Ste 100
Jackson, MI 49203
Phone (517) 205-8991
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
400 Hinckley Blvd
Jackson, MI 49203
Phone (517) 205-2299
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
Interoperability endpoints
- llegerestruntz456356@direct.hfhs.org
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.
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Henry Ford Allegiance Health
- Family Medicine Physician
- Jackson, MI
- NPI 1215974332
-
dba Henry Ford Allegiance Health
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Jackson, MI
- NPI 1588642110
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1316970312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPARTMENT 272801",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670002",
"telephone_number": "517-841-6913",
"fax_number": "517-841-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HINCKLEY BLVD",
"address_2": "SUITE 100",
"city": "JACKSON",
"state": "MI",
"postal_code": "492036125",
"telephone_number": "517-784-0588",
"fax_number": "517-784-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGERE-STRUNTZ",
"first_name": "LISA",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080084532",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0853800375",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1678894",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115188133",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3257661",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "llegerestruntz456356@direct.hfhs.org",
"affiliation": "N",
"address_1": "400 Hinckley Blvd",
"address_2": "Suite 100",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "492036125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "LEGERE",
"middle_name": "L",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.