Lisa E Colwick, FNP
Individual provider Active NPI Family Nurse Practitioner · Sikeston, MO
NPI 1437248705 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1437248705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 081070 (MO)
- Practice address
- 1017 N Main St
Sikeston, MO 63801-5043 - Phone
- (573) 472-6030
- Fax
- (573) 472-6029
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missouri Delta Medical Center
Health Facilities Rehab Services Inc
Practice addresses (Care Compare)
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
1015 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7777
1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030
1019 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-7702
1102 Sikes Ave
Sikeston, MO 63801-5021
Hospital & facility affiliations
- Missouri Delta Medical Center
- Mercy Hospital Southeast
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040315000646 | MO | Practitioner - Nurse Practitioner | 4789573981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current |
Accepting new patients | |
| Missouri Delta Medical Center | Current |
Accepting new patients | |
| 1St Choice Family and Occupational Medicint Clinic | Past | Accepting new patients |
Locations
1017 N Main St
Sikeston, MO 63801
Phone (573) 472-6030
121 Smith Ave
Sikeston, MO 63801
Phone (573) 471-0200
1019 N Main St
Sikeston, MO 63801
Phone (573) 472-7702
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 081070 | MO | Yes |
Addresses
Primary practice location
1017 N Main St
Sikeston, MO 63801-5043
Mailing address
1017 N Main St
Sikeston, MO 63801-5043
Phone (573) 472-6030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428896013 | Medicaid | MO |
Other providers in Sikeston, MO
- Holly Renee Cohen
- Angelica Jayde Colarossi
- Kelley Leann Collier
- Collins Acres Care Center Inc
- Colonial Manor LLC
- Compass Therapy Solutions
- Compassionate Care Home Services
- Continu-Care
- Continu-Care Home Maker Service Inc
- Continue Care Home Maker Services Inc.
All providers in Sikeston, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.