Lisa Maria Kegel, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

002513 Issued in CT

Practice address

439 Mill Hill Ave
Bridgeport, CT 06610

Phone

(203) 334-2100

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.kegel.p1@direct.wheelerclinic.nextgenshare.com

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.

• Absolute Outcomes, LLC

  • Internal Medicine Physician
  • Monroe, CT
  • NPI 1073746202
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1518186808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102866",
            "telephone_number": "203-334-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-334-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5520 Park Ave Ste Wp2-200",
            "address_purpose": "LOCATION",
            "city": "Trumbull",
            "state": "CT",
            "postal_code": "066113463",
            "country_code": "US",
            "telephone_number": "203-709-6000 x3502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246017",
            "country_code": "US",
            "telephone_number": "203-334-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 Mill Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "06610",
            "country_code": "US",
            "telephone_number": "203-334-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGEL",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "002513",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkegel@advcardioct.com",
            "affiliation": "N",
            "endpointDescription": "ACS Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "439 Mill Hill Ave",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066102866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ke Health Services, LLC
• Yabets Tesfaye Kebede
• Victoria Keefe
• Casey Keenan
• Ryan Keenan, PMHNP
• Andrew John Kehrer, DO
• Jill S Keller, APRN
• Barbara Kelly, LPC
• Blaze Kelly, DO
• Lauren Alexis Kelly, PA-C

• Adult Health Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.