Lisa Sue Sotelo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G176317 Issued in IA

Practice address

605 E Winfield Ave
Mt Pleasant, IA 52641-2928

Phone

(319) 385-8051

NPI assigned

Sep 13, 2023

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

Medicare fee-for-service enrollment

Enrolled in IA

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 1

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.

• Optimae Lifeservices,Inc.

  • Community/Behavioral Health Agency
  • Muscatine, IA
  • NPI 1184898470
  Medicare reassignment NPD
• Optimae Lifeservices, Inc,

  • Community/Behavioral Health Agency
  • Fairfield, IA
  • NPI 1174520084
  NPD
• Nurse in the House, Inc.

  • Home Health Agency
  • Des Moines, IA
  • NPI 1598196040
  NPD (past)

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1598542383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 288TH DR",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523618736",
            "telephone_number": "319-331-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E WINFIELD AVE",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412928",
            "telephone_number": "319-385-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "LISA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G176317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Edward Sitar, D.D.S.
• Djonggi W Situmeang, MD
• Robert W Smith, M.D.
• Trina Jenae Smith, ARNP
• Ashley Snyder
• Southeastern Renal Dialysis L.C.
• Shelby Spates
• State of Iowa Human Services Mt. Pleasant
• David Stecker, MS, LAT, ATC, PES
• Michael R Steele, LISW

• Psychiatric/Mental Health Nurse Practitioner in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.