Lisa A. Pape, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A135623 Issued in IA

Practice address

933 E Pierce St
Council Bluffs, IA 51503-4626

Phone

(712) 396-6111

Fax

(712) 396-7026

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa A. Minahan Former name

Medicare fee-for-service enrollment

Enrolled in IA, TX2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine Clinic, P.C.Group PAC ID 0547159824, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Burgess Health Center Hospital, Onawa, IA, CCN 161359

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Medicine Clinic, P.C.

  • Family Medicine Physician
  • Onawa, IA
  • NPI 1386824787
  Medicare reassignment Care Compare group NPD
• Burgess Health Center

  • Emergency Medicine Physician
  • Onawa, IA
  • NPI 1538234232
  Medicare reassignment NPD
• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Medicare reassignment NPD
• Winnebago Tribe of Nebraska

  • Clinic/Center
  • Winnebago, NE
  • NPI 1033608328

  TX

  Medicare reassignment NPD
• Burgess Health Center

  • Rural Health Clinic/Center
  • Whiting, IA
  • NPI 1487022216

  Nurse Practitioner

  NPD
• Family Medicine Clinic, PC

  • Family Medicine Physician
  • Onawa, IA
  • NPI 1063418820
  NPD
• Winnebago Tribe of Nebraska

  • Land Ambulance
  • Winnebago, NE
  • NPI 1295720811
  NPD
• Burgess Health Center

  • Rural Health Clinic/Center
  • Sloan, IA
  • NPI 1013243633

  Nurse Practitioner

  NPD (past)

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

• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360
  Care Compare affiliation

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506297600000",
    "number": "1578072351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2797",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681032797",
            "telephone_number": "402-354-4230",
            "fax_number": "402-354-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-6111",
            "fax_number": "712-396-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A135623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP MEDICAL LICENSE",
            "identifier": "A135623",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MINAHAN",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Bridget Overholtzer-Strait, PHARMD
• Joshua David Owen, D.C.
• Pace Iowa
• Margaret Marie Panarisi, DDS
• Inderjit Singh Panesar, D.P.M.
• Kayla R Paris, PTA
• Angela Leigh Parker, ARNP
• Connie Jean Parker, ARRT
• Tammana J Patel, APRN-NP
• Pathlab LTD.

• Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.