Individual provider Active NPI

Zebida T Lisso, APRN

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1336592328
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-77267 Issued in KS
Practice address
1731 N 90TH St
Kansas City, KS 66112-1515
Phone
(913) 732-5903
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5377262021 KS
Family Nurse Practitioner 363LF0000X 53-77267 KS Primary

Addresses

Primary practice location

1731 N 90TH St
Kansas City, KS 66112-1515

Mailing address

1731 N 90TH St
Kansas City, KS 66112-1515
Phone (913) 732-5903

Other practice location 1

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other identifiers 4

IdentifierTypeStateIssuer
110034021OtherKSPTAN
420123393MedicaidMO
10030232001MedicaidNE
30003913850015MedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address zlisso100159@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address zlisso100159@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160919001214 KS Practitioner - Nurse Practitioner 6901193085 Reassigns benefits to 9 organizations
I20260512000275 MO Practitioner - Nurse Practitioner 6901193085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (800) 501-9855

1731 N 90TH St
Select Specialty Hospital
Kansas City, KS 66112-1515
Phone (913) 732-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77267KSMDFamily Nurse Practitioner
5377262021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Jun 1, 2023 Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Aug 11, 2025 Accepting new patients
Hiawatha Hospital Association Inc Nurse Practitioner CurrentSince Aug 11, 2025 Accepting new patients
Hiawatha Hospital Association, Inc. Current Accepting new patients
KC Hospitalists, P.a. CurrentSince Nov 21, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Mar 9, 2020 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Mar 9, 2020 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince May 3, 2023 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Jun 1, 2023 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince May 3, 2023 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 6, 2024 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 207
Emporia, KS 66801
Phone (620) 342-4278

300 Utah St
Fl 2
Hiawatha, KS 66434
Phone (785) 742-2161

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

415 W Main St
Highland, KS 66035
Phone (785) 442-3213

1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

7400 W 132nd St
Ste 120
Overland Park, KS 66213

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1336592328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 N 90TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121515",
            "telephone_number": "913-732-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N 90TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121515",
            "telephone_number": "913-732-5903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISSO",
        "first_name": "ZEBIDA",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5377262021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "110034021",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420123393",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10030232001",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913850015",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zlisso100159@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zlisso100159@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1500 SW 10th Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666041301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.