Lisa A Langburd, NP
Individual provider Active NPI Family Nurse Practitioner · Lewiston, ME
NPI 1558329664 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1558329664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP081489 (ME)
- Practice address
- 60 High St
Lewiston, ME 04240-7616 - Phone
- (207) 753-3900
- Fax
- (207) 753-3902
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bozeman Health Urgent Care
Bozeman Health Big Sky Medical Center LLC
Practice addresses (Care Compare)
1006 W Main St
Bozeman, MT 59715-3219
Phone (406) 586-8711
334 Town Ctr Ave
Big Sky, MT 59716
Phone (406) 995-6995
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 77.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MT
- 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 |
|---|---|---|---|---|
| I20210527002542 | TX | Practitioner - Nurse Practitioner | 6800848284 | |
| I20221012001853 | MT | Practitioner - Nurse Practitioner | 6800848284 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP081489 | ME | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Bozeman Health Big Sky Medical Center, LLC | Current |
Accepting new patients | |
| Field of Dreams PC | Current | Accepting new patients | |
| Bozeman Health Big Sky Medical Center, LLC | Current |
Accepting new patients | |
| Bozeman Health Urgent Care | Current |
Accepting new patients | |
| Bozeman Health Deaconess Hospital | Past | Accepting new patients | |
| Fallon Medical Complex Inc | Past | Accepting new patients |
Locations
1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP081489 | ME | Yes |
Addresses
Primary practice location
60 High St
Lewiston, ME 04240-7616
Mailing address
60 High St
Lewiston, ME 04240-7616
Phone (207) 753-3900
Other providers in Lewiston, ME
- Benjamin Landry
- Daniel P Landry
- Kathryn Landry
- Shauna Lane
- Alan Langburd
- Catherine Vallee Langelier
- Langlais Counseling LLC
- Erica Langlois
- Kellie Lavin Lapierre
- Lapointe Psychotherapy LLC
All providers in Lewiston, ME · Family Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. 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.