Individual provider Active NPI

Lisa L Noles, APRN

  • Family Nurse Practitioner
  • Greenville, FL
National Provider Identifier
1346712064
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000662 Issued in FL
Practice address
4727 Ira L Smith Rd
Greenville, FL 32331-8733
Phone
(850) 843-0030
NPI assigned
Dec 19, 2018
Last updated
Dec 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000662 FL Primary

Addresses

Primary practice location

4727 Ira L Smith Rd
Greenville, FL 32331-8733

Mailing address

4727 Ira L Smith Rd
Greenville, FL 32331-8733
Phone (850) 843-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240122003396 FL Practitioner - Nurse Practitioner 4587016985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMD EMS Group LLCGroup PAC ID 8224517511, 11 clinicians

Practice addresses (Care Compare)

224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 973-2271

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000662FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Hospital Health Systems, Inc. Current Accepting new patients
SMD EMS Group LLC CurrentSince Dec 22, 2025 Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1346712064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 IRA L SMITH RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323318733",
            "telephone_number": "850-843-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 IRA L SMITH RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323318733",
            "telephone_number": "850-843-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLES",
        "first_name": "LISA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, FL

Sources for this page

Verify at the official NPI Registry.