Lisa M Rickard, APRN FNP-C
Individual provider Active NPI Nurse Practitioner · Morganfield, KY
NPI 1457068439 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1457068439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3018620 (KY)
- Practice address
- 4604 US Highway 60 W
Morganfield, KY 42437-6515 - Phone
- (270) 389-5000
- NPI assigned
- Oct 31, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
- 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 |
|---|---|---|---|---|
| I20221216001602 | KY | Practitioner - Nurse Practitioner | 9537538368 | Reassigns benefits to 1 organization |
| I20231213002877 | IN | Practitioner - Nurse Practitioner | 9537538368 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014619A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Physicians PLLC | Family | Current |
Accepting new patients |
| University Family Physicians, Inc. | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Nurse Practitioner | Current |
Accepting new patients |
| University Family Physicians, Inc. | Current |
Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71014619A | IN | |
| Nurse Practitioner | 363L00000X | 3018620 | KY | Yes |
Addresses
Primary practice location
4604 US Highway 60 W
Morganfield, KY 42437-6515
Mailing address
971 Millcreek Dr
Henderson, KY 42420-5308
Phone (270) 543-4605
Other practice location 1
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-8776
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lrickard@direct.iuhealth.org | Direct |
Other providers in Morganfield, KY
- Hillary P Overby
- Theresa Kaye Peek
- Regional Health Care Affiliates Inc
- Rescare, Inc.
- Hayley Lynn Rickard
- Rigdon Family Dental, Inc
- Nancy Elizabeth Rigdon
- Gloria Johnson Royster
- Jon Alan Schermerhorn
- Ashley Marie Sesco
All providers in Morganfield, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. 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.