Lisa Marie Mullen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9778A Issued in WY

Practice address

497 W Lott St
Buffalo, WY 82834-1658

Phone

(307) 684-2228

Fax

(307) 684-2177

NPI assigned

Jun 21, 2011

Last updated

Feb 16, 2015By the provider in NPPES

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

Other names 1

• Lisa Marie Hill Former name

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Washington School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medical CenterGroup PAC ID 1557344371, 22 clinicians

Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
• Johnson County Healthcare Center Hospital, Buffalo, WY, CCN 531308

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisamullen@fmcjc.allscriptsdirect.net

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.

• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment Care Compare group NPD
• Family Medical Center

  • Clinic/Center
  • Buffalo, WY
  • NPI 1285612317
  Medicare reassignment Care Compare group NPD
• Johnson County Memorial Hospital

  dba Johnson County Healthcare Center

  • Critical Access Hospital
  • Buffalo, WY
  • NPI 1003894122
  Medicare reassignment NPD

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

• Johnson County Memorial Hospital

  dba Johnson County Healthcare Center

  • Critical Access Hospital
  • Buffalo, WY
  • NPI 1003894122
  Care Compare affiliation
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Care Compare affiliation

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1629364377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341658",
            "telephone_number": "307-684-2228",
            "fax_number": "307-684-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W LOTT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341658",
            "telephone_number": "307-684-2228",
            "fax_number": "307-684-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MR-1172",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9778A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HILL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy Monique Miner, M.S.P.T.
• Brittany Miskimins
• Monica Marie Money, RN, IBCLC
• Rhonda Money, MSW
• Amanda Monterastelli, MED, ATC, L.A.T
• Molly Nafziger, FNP
• Pacific Consulting Group, LLC.
• Kirk D Parry, B.S.
• Jeanne Louise Peterson, CNM
• Eileen Marie Phillips, PHARM.D.

• Family Medicine Physician in Buffalo, WY
• Providers in Buffalo, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.