Individual provider Active NPI

Lisa M Reardon, ANP, WHNP

  • Women's Health Nurse Practitioner
  • East Bridgewater, MA
National Provider Identifier
1326329533
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN273646 Issued in MA
Practice address
1 Compass Way
Suite 109
East Bridgewater, MA 02333-1465
Phone
(508) 350-2995
Fax
(508) 350-2996
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN273646 MA Primary

Addresses

Primary practice location

1 Compass Way
Suite 109
East Bridgewater, MA 02333-1465

Mailing address

1 Compass Way
Suite 109
East Bridgewater, MA 02333-1465
Phone (508) 350-2995

Other names 1

  • Lisa M Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20131118001220 MA Practitioner - Nurse Practitioner 9830325042 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
South Shore Medical Center, Inc.Group PAC ID 3678487444, 174 clinicians

Practice addresses (Care Compare)

5 Tarkiln Rd
Kingston, MA 02364-1250
Phone (781) 585-2200

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 624-8000

Merit-based Incentive Payment System (MIPS)

Final score
72.58 of 100Reported as group
Quality
58.14
Promoting interoperability
74
Improvement activities
40
Cost
72.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Medical Center, Inc. CurrentSince Oct 15, 2013 Accepting new patients

Locations

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

51 Performance Dr
Weymouth, MA 02189
Phone (781) 337-5555

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1326329533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY",
            "address_2": "SUITE 109",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331465",
            "telephone_number": "508-350-2995",
            "fax_number": "508-350-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMPASS WAY",
            "address_2": "SUITE 109",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331465",
            "telephone_number": "508-350-2995",
            "fax_number": "508-350-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "ANP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN273646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SCOTT",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.