Individual provider Active NPI

Lisa Gibbs, FNP

  • Family Nurse Practitioner
  • Ste Genevieve, MO
National Provider Identifier
1437668969
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017023501 Issued in MO
Practice address
800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone
(573) 883-7759
NPI assigned
Sep 27, 2017
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 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 2017023501 MO Primary

Addresses

Primary practice location

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Mailing address

1220 Crystal Heights Rd
Crystal City, MO 63019-1414

Other practice location 1

255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-2929

Other names 1

  • Lisa Engle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171026003395 MO Practitioner - Nurse Practitioner 2567738081 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

120 Plaza Dr
Ste Genevieve, MO 63670-1828
Phone (573) 483-2727

120 Plaza Dr Metis Breast Care
Ste Genevieve, MO 63670-1828
Phone (573) 883-5717

120 Plaza Dr Plaza Family Health Care
Ste Genevieve, MO 63670-1828
Phone (573) 883-1199

120 Plaza Dr Plaza Medical Ctr
Ste Genevieve, MO 63670-1828
Phone (573) 883-5717

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017023501MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • Direct secure messaging: lisagibbs@mhccaremail.com

Organizations & group practices 5

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 1

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1437668969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CRYSTAL HEIGHTS RD",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630191414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STE GENEVIEVE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Boderman",
            "address_purpose": "LOCATION",
            "city": "Bloomsdale",
            "state": "MO",
            "postal_code": "636279099",
            "country_code": "US",
            "telephone_number": "573-483-2929",
            "fax_number": "573-483-9612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017023501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ENGLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.