Individual provider Active NPI

Lisa R Kongable, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1336158666
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
T-076356 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 353-6963
Fax
(319) 356-2587
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X T-076356 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-6963

Other practice location 1

106 N Jackson St
MT Pleasant, IA 52641-2063
Phone (319) 385-8051

Other identifiers 5

IdentifierTypeStateIssuer
500029110OtherIARAILROAD MEDICARE
24739OtherIAMIDLANDS
463848OtherIAVALUE OPTIONS RAILROAD
0438127MedicaidIA
59200OtherIAWELLMARK

Other names 1

  • Lisa R Garlock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120510000561 IA Practitioner - Nurse Practitioner 9335301209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Optimae Lifeservices IncGroup PAC ID 8022912211, 20 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

208 Bank St
Keokuk, IA 52632-5819
Phone (319) 524-5106

301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-5771

509 Ave F
Fort Madison, IA 52627-2910
Phone (319) 372-3566

605 E Winfield Ave
Mount Pleasant, IA 52641-2928
Phone (319) 385-8051

825 N 6TH St
Suite 6
Burlington, IA 52601-4920
Phone (319) 237-1732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
T-076356IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Dec 4, 2019 Accepting new patients
Optimae Lifeservices, Inc, CurrentSince Jul 16, 2017 Accepting new patients
Optimae Lifeservices,Inc. Current Accepting new patients
Rescare, Inc Past Accepting new patients
State University of Iowa Past Accepting new patients
Nurse in the House, Inc. Past Accepting new patients

Locations

712 S West St
Bloomfield, IA 52537

712 S West St
Ste 3
Bloomfield, IA 52537
Phone (641) 472-5771

22425 Overland Ave
Bloomfield, IA 52537
Phone (641) 664-3202

825 N 6th St
Ste 6
Burlington, IA 52601
Phone (319) 237-1732

883 Shaver Rd NE
Ste E
Cedar Rapids, IA 52402
Phone (319) 591-8111

209 E Maple St
Ste 8
Centerville, IA 52544
Phone (641) 682-4804

1711 Osceola Ave
Ste 104
Chariton, IA 50049
Phone (641) 472-5771

2201 W Jefferson Ave
Fairfield, IA 52556
Phone (641) 472-1684

301 W Burlington Ave
Fairfield, IA 52556
Phone (641) 472-1684

51 W Washington Ave
Ste A
Fairfield, IA 52556
Phone (641) 472-5771

509 Avenue F
Fort Madison, IA 52627
Phone (319) 372-3566

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

2460 Towncrest Dr
Ste 1
Iowa City, IA 52240
Phone (319) 337-2008

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

208 Bank St
Keokuk, IA 52632
Phone (319) 524-3873

106 N Jackson St
Mt Pleasant, IA 52641
Phone (319) 385-7177

605 E Winfield Ave
Mt Pleasant, IA 52641
Phone (319) 385-8051

226 W Main St
Ste 405
Ottumwa, IA 52501
Phone (641) 682-4804

401 Westview Ct
Unit 2
Washington, IA 52353
Phone (319) 531-8111

Interoperability endpoints

  • Direct secure messaging: lkongable4734@uihcdirect.org

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 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1336158666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6963",
            "fax_number": "319-356-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6963",
            "fax_number": "319-356-2587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "IA",
            "postal_code": "526412063",
            "country_code": "US",
            "telephone_number": "319-385-8051",
            "fax_number": "319-385-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONGABLE",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "T-076356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500029110",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "24739",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS RAILROAD",
            "identifier": "463848",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438127",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "59200",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GARLOCK",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.