Lisa Marie Conway, PA-C

Individual provider Active NPI Medical Physician Assistant · Lexington, KY

NPI 1457533283 · NPPES record last updated Dec 2, 2020

Key facts

NPI
1457533283
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
50.002674 (OH)
Practice address
2716 Old Rosebud Rd
Lexington, KY 40509-8008
Phone
(859) 543-1577
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group Inc (2,431 clinicians)

Practice addresses (Care Compare)

2716 Old Rosebud Rd
Lexington, KY 40509-8003

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

  • Baptist Health Lexington Hospital · Lexington, KY · CCN 180103

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100 (apm)
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080205000185 KY Practitioner - Physician Assistant 1052493624 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002674OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current
since Dec 12, 2016
Accepting new patients
Baptist Health Medical Group Inc Current
since Dec 12, 2016
Accepting new patients
Bluegrass Bariatric Surgical Associates, PLLC Past Accepting new patients

Locations

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

2716 Old Rosebud Rd
Ste 350
Lexington, KY 40509
Phone (859) 543-1577

Interoperability endpoints

  • Direct secure messaging: lconway6392@bhkydirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.002674 OH Yes

Addresses

Primary practice location

2716 Old Rosebud Rd
Lexington, KY 40509-8008

Mailing address

2716 Old Rosebud Rd
Lexington, KY 40509-8008
Phone (859) 543-1577

Other identifiers

IdentifierTypeStateIssuer
50.002674OtherOHOH LICENSE
7100036940MedicaidKY
PA1092OtherKYLICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lconway6392@bhkydirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2020.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1457533283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098008",
            "telephone_number": "859-543-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098008",
            "telephone_number": "859-543-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.002674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH LICENSE",
            "identifier": "50.002674",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100036940",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA1092",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lconway6392@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2716 Old Rosebud Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405098008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

All providers in Lexington, KY · Medical Physician Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.