Individual provider Active NPI

Lisa A Ducoff, APRN

  • Family Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1437406964
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3007576 Issued in KY
Practice address
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone
(270) 651-1111
Fax
(270) 659-5853
NPI assigned
Aug 15, 2012
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 3007576 KY Primary

Addresses

Primary practice location

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300

Mailing address

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

Other identifiers 1

IdentifierTypeStateIssuer
7100218520MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lducoff@tjrh.cernerdirect.com T J Samson Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120912000779 KY Practitioner - Nurse Practitioner 2163670340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Adair County Hospital DistrictGroup PAC ID 3577474667, 20 clinicians
T J Health Columbia IncGroup PAC ID 7113224783, 43 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4471

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

810 Jamestown St
Columbia, KY 42728-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3007576KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Jan 1, 2025 Accepting new patients
T J Health Columbia Inc Family Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Samson Community Hospital Family CurrentSince Jul 1, 2014 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Samson Community Hospital Family Current Accepting new patients
T J Health Columbia Inc CurrentSince Jul 22, 2024 Accepting new patients
T J Health Columbia Inc CurrentSince Jul 22, 2024 Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764

901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753

104 Hippocrates Way
Glasgow, KY 42141
Phone (270) 659-3322

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

312 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

Interoperability endpoints

  • Direct secure messaging: lducoff@tjrh.cernerdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1437406964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-651-1111",
            "fax_number": "270-659-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-651-1111",
            "fax_number": "270-659-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOFF",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100218520",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lducoff@tjrh.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "T J Samson Community Hospital",
            "address_1": "310 N L Rogers Wells Blvd",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421411300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.