Individual provider Active NPI

Lisa E Menchion, NP-C

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1356885503
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2218092 Issued in FL
Practice address
515 63Rd Ave E
Bradenton, FL 34203-7614
Phone
(941) 304-3960
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 APRN2218092 FL Primary

Addresses

Primary practice location

515 63Rd Ave E
Bradenton, FL 34203-7614

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other identifiers 1

IdentifierTypeStateIssuer
020455100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20170505001438 FL Practitioner - Nurse Practitioner 7719264498 Reassigns benefits to 3 organizations
I20260318002544 GA Practitioner - Nurse Practitioner 7719264498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians
MCR Health IncGroup PAC ID 7214847995, 132 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

12271 US Hwy 301 N
Parrish, FL 34219-8410
Phone (941) 713-2231

1312 Manatee Ave E
Bradenton, FL 34208-1358
Phone (941) 708-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN2218092FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Florida LLC Family CurrentSince Jul 1, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Feb 3, 2026 Accepting new patients
Cornerstone Healthcare Clinic Family CurrentSince Jan 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince May 20, 2024 Accepting new patients
MCR Health, Inc. Family CurrentSince May 20, 2024 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Feb 3, 2026 Accepting new patients

Locations

1110 E Gibson St
Bldg A
Arcadia, FL 34266
Phone (863) 494-4433

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

515 63rd Ave E
Bradenton, FL 34203
Phone (941) 304-3960

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1400 Dr Martin Luther King Way
Unit 101
Sarasota, FL 34234
Phone (941) 373-1716

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • Direct secure messaging: lisa.menchion.1@22854.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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1356885503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 63RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037614",
            "telephone_number": "941-304-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHION",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2218092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020455100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.