Individual provider Active NPI

Lisa Michelle McConnell, APRN-CNP, FNP-C

  • Family Nurse Practitioner
  • Moore, OK
National Provider Identifier
1346753456
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
109623 Issued in OK
Practice address
2212 N Broadway St
Moore, OK 73160-4303
Phone
(405) 285-7222
Fax
(405) 285-7227
NPI assigned
Nov 10, 2017
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 109623 OK
Family Nurse Practitioner 363LF0000X 109623 OK Primary
Primary Care Nurse Practitioner 363LP2300X 109623 OK

Addresses

Primary practice location

2212 N Broadway St
Moore, OK 73160-4303

Mailing address

2212 N Broadway St
Moore, OK 73160-4303
Phone (405) 285-7222

Other practice location 1

1421 NW 122ND St
Oklahoma City, OK 73114-8028
Phone (405) 849-6000

Other practice location 2

1421 NW 122ND St
Oklahoma City, OK 73114-8028
Phone (405) 286-2888

Other identifiers 2

IdentifierTypeStateIssuer
14209973OtherCAQH
200797220AMedicaidOK

Other names 1

  • Lisa Michelle Patison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180404000483 OK Practitioner - Nurse Practitioner 8325301328 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Superior Family Care, LLCGroup PAC ID 8527508951, 2 clinicians
Quick Urgent Care LLCGroup PAC ID 4486937505, 9 clinicians

Practice addresses (Care Compare)

1421 NW 122ND St
Oklahoma City, OK 73114-8028
Phone (405) 849-6000

2212 N Broadway St
Moore, OK 73160-4303
Phone (405) 285-7222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109623OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 10, 2018 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Jul 1, 2021 Accepting new patients
Superior Family Care, LLC CurrentSince Jul 5, 2024 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Sep 10, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1421 NW 122nd St
Oklahoma City, OK 73114
Phone (405) 849-6000

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1346753456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604303",
            "telephone_number": "405-285-7222",
            "fax_number": "405-285-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 NW 122ND ST",
            "address_purpose": "LOCATION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148028",
            "country_code": "US",
            "telephone_number": "405-849-6000",
            "fax_number": "405-849-5975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 NW 122ND ST",
            "address_purpose": "LOCATION",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148028",
            "country_code": "US",
            "telephone_number": "405-286-2888",
            "fax_number": "405-286-1695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "APRN-CNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "109623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "109623",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "109623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14209973",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200797220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PATISON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.