Individual provider Active NPI

Lisa Vannoy, FNP-C

  • Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1447728712
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139615 Issued in TX
Practice address
102 N Magdalen St Ste 235
San Angelo, TX 76903-5403
Phone
(325) 481-2281
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139615 TX Primary

Addresses

Primary practice location

102 N Magdalen St Ste 235
San Angelo, TX 76903-5403

Mailing address

PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IA, IL, FL, GA, PA, AL, LA, CA10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20181121000588 TX Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20240719001170 AZ Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20241119001266 IA Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20250102000121 IL Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20250826004170 FL Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20251110002136 GA Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20260325000849 PA Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20260427003233 AL Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20260612001413 LA Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization
I20260617000254 CA Practitioner - Nurse Practitioner 0446504880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5410 Maryland Way
Brentwood, TN 37027-8087

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139615TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Florida LLC Nurse Practitioner CurrentSince Aug 7, 2025 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jun 5, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Jun 5, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Oct 13, 2025 Accepting new patients
Monogram Health Professional Services of Iowa PLLC Nurse Practitioner CurrentSince Nov 7, 2024 Accepting new patients
Monogram Health Professional Services of Texas PLLC Nurse Practitioner CurrentSince Jan 24, 2024 Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 230-8557

Interoperability endpoints

  • Direct secure messaging: lvannoy25470@shannonhealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1447728712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N MAGDALEN ST STE 235",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035403",
            "telephone_number": "325-481-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOY",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.