Individual provider Active NPI

Lisa A Smith, FNP

  • Family Nurse Practitioner
  • New Sharon, IA
National Provider Identifier
1447402052
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
080726 Issued in IA
Practice address
112 S Main St
New Sharon, IA 50207-9225
Phone
(641) 637-2651
Fax
(641) 637-2702
NPI assigned
Oct 14, 2008
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 080726 IA Primary

Addresses

Primary practice location

112 S Main St
New Sharon, IA 50207-9225

Mailing address

112 S Main St
New Sharon, IA 50207-9225
Phone (641) 637-2651

Other names 1

  • Ms. Lisa A Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20130424000193 IA Practitioner - Nurse Practitioner 2062553019 Reassigns benefits to 5 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
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

202 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2925

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080726IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Nov 4, 2024 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Keokuk County Health Center Current Accepting new patients
Grinnell Regional Medical Center Family CurrentSince Jul 11, 2022 Accepting new patients
Keokuk County Health Center CurrentSince Nov 4, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 11, 2023 Accepting new patients
Grinnell Regional Medical Center PastSince Aug 1, 2020 Accepting new patients
New Sharon Medical Center Past Accepting new patients

Locations

400 E Court Ave
Ste 110
Des Moines, IA 50309

202 4th Ave
Ste 100
Grinnell, IA 50112
Phone (641) 236-2323

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

1229 C Ave E
Oskaloosa, IA 52577
Phone (641) 672-3100

1314 S Stuart St
Sigourney, IA 52591
Phone (319) 337-7642

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
  • Direct secure messaging: lsmith750514@direct.unitypoint.org

Organizations & group practices 10

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 2

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1447402052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "502079225",
            "telephone_number": "641-637-2651",
            "fax_number": "641-637-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "502079225",
            "telephone_number": "641-637-2651",
            "fax_number": "641-637-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "080726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SMITH",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Sharon, IA

Sources for this page

Verify at the official NPI Registry.