Individual provider Active NPI

Lisa McCoy

  • Family Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1366814857
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28166970A Issued in IN
Practice address
1130 Medical PL
Seymour, IN 47274-2640
Phone
(812) 522-1613
NPI assigned
Oct 23, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28166970A IN
Family Nurse Practitioner 363LF0000X 28166970A IN Primary

Addresses

Primary practice location

1130 Medical PL
Seymour, IN 47274-2640

Mailing address

1130 Ernest Dr
Seymour, IN 47274-3102
Phone (812) 525-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151130001315 IN Practitioner - Nurse Practitioner 5799085551 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28166970AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Midwest, S.C. Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Indiana Emergency Professionals PC Nurse Practitioner CurrentSince Nov 1, 2015 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Interoperability endpoints

  • Direct secure messaging: lisa.mccoy.5@14940.direct.athenahealth.com

Organizations & group practices 4

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1366814857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ERNEST DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743102",
            "telephone_number": "812-525-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MEDICAL PL",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742640",
            "telephone_number": "812-522-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28166970A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28166970A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.