Active NPI
Lisa Kay Bigelow, N.P.
- Nurse Practitioner
- South Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 158435
- Practice address
- 950 S Bailey Ave
South Haven, MI 49090-8744 - Phone
- (269) 639-2916
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 158435 | MI | Primary |
Addresses
Primary practice location
950 S Bailey Ave
South Haven, MI 49090-8744
Mailing address
950 S Bailey Ave
South Haven, MI 49090-8744
Phone (269) 639-2916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
91 Douglas Ave
Suite 110
Holland, MI 49424-2183
Phone (616) 298-8124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158435 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Bronson South Haven Hospital | Current | Accepting new patients | |
| Bronson South Haven Hospital | Current | Accepting new patients | |
| Salubrious Health PLLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
91 Douglas Ave
Ste 110
Holland, MI 49424
Phone (616) 298-8124
1521 Gull Rd
Ste 430
Kalamazoo, MI 49048
Phone (269) 226-5177
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796
Interoperability endpoints
- lisa.bigelow.1@28492.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Holland, MI
- NPI 1609562800
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Family Medicine Physician
- South Haven, MI
- NPI 1174749170
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1356561112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S BAILEY AVE",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490908744",
"telephone_number": "269-639-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S BAILEY AVE",
"city": "SOUTH HAVEN",
"state": "MI",
"postal_code": "490908744",
"telephone_number": "269-639-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGELOW",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "158435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.