Active NPI
Lisa Marie Neuenfeldt, APRN
- Family Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9185753
- Practice address
- 2100 State Ave
Panama City, FL 32405-4587 - Phone
- (850) 763-0036
- Fax
- (850) 763-0259
- NPI assigned
- Mar 4, 2010
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinical Nurse Specialist | 364SX0200X | ARNP9185753 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9185753 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9185753 | FL | Primary |
Addresses
Primary practice location
2100 State Ave
Panama City, FL 32405-4587
Mailing address
2422 Breezy LN
Panama City, FL 32405-3917
Phone (850) 258-7340
Other practice location 1
60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 State Ave
Panama City, FL 32405-4587
Phone (850) 763-0036
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9185753 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocala Oncology Center, PL | Current | Accepting new patients | |
| Ocala Oncology Center PL | Family | Current | Accepting new patients |
| Florida Hospital Physician Group Inc | Family | Past | Accepting new patients |
Locations
13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940
2100 State Ave
Panama City, FL 32405
Phone (850) 763-0036
2614 Jenks Ave
Panama City, FL 32405
Phone (850) 215-3000
Interoperability endpoints
- lisa.neuenfeldt@fca.ikm.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida Cancer Affiliates Ocala, Tampa Bay, North Florida
- Hematology & Oncology Physician
- Ocala, FL
- NPI 1356300958
Family
-
dba Florida Cancer Affiliates
- Community/Retail Pharmacy
- Ocala, FL
- NPI 1093206039
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Port St Joe, FL
- NPI 1083941678
-
dba Ascension Sacred Heart Bay
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1619290673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 BREEZY LN",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324053917",
"telephone_number": "850-258-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STATE AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054587",
"telephone_number": "850-763-0036",
"fax_number": "850-763-0259"
}
],
"practiceLocations": [
{
"address_1": "60 Memorial Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321645980",
"country_code": "US",
"telephone_number": "386-586-2000",
"fax_number": "317-705-5047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUENFELDT",
"first_name": "LISA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-04",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "364SX0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Oncology",
"state": "FL",
"license": "ARNP9185753",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9185753",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9185753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Steven Nelson
- Nemours Children's Health, Panama City, Specialty Care
- Nephrology Associates PA
- Jan Lewis Netherland, C.R.N.A.
- Deanna J Nettles, LMHC
- Neuropathy Relief Center of Panama City LLC
- Diane L Cummings Neville, RBT
- New Beginnings Therapy and Wellness LLC
- New Beginnings,Visitation, Adoption and Counseling Center, Inc
- New Chapter Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
- 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.