Individual provider Active NPI

Lisa L. Gilmore, DNP, ACCNS, FNP

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1629484647
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018035616 Issued in MO
Practice address
620 N Main St
Harrison, AR 72601-2911
Phone
(870) 414-4076
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 2014022682 MO
Adult Health Clinical Nurse Specialist 364SA2200X 2014024621 MO
Family Nurse Practitioner 363LF0000X 2018035616 MO Primary

Addresses

Primary practice location

620 N Main St
Harrison, AR 72601-2911

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

1965 S Fremont Ave Ste 230
Springfield, MO 65804-2258
Phone (417) 820-7250

Other practice location 2

94 Main St
Cassville, MO 65625-1610
Phone (417) 847-6000

Other practice location 3

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6100

Other practice location 4

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7218

Other practice location 5

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Other practice location 6

1000 E Hwy 60
Monett, MO 65708-8258
Phone (000) 000-0000

Other practice location 7

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140826001904 MO Practitioner - Certified Clinical Nurse Specialist (CNS) 5092933440 Reassigns benefits to 12 organizations
I20191023001003 AR Practitioner - Nurse Practitioner 5092933440 Reassigns benefits to 1 organization
I20260302002080 MO Practitioner - Nurse Practitioner 5092933440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield Communities 1,121 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018035616MOMDFamily Nurse Practitioner
2014024621MOMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cox-Monett Hospital, Inc. CurrentSince Mar 23, 2026 Accepting new patients
Mercy Hospital Springfield CurrentSince May 20, 2024 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 1, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Oct 5, 2015 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 24, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 11, 2014 Accepting new patients
Citizens Memorial Hospital District CurrentSince Jan 11, 2026 Accepting new patients
Skaggs Community Hospital Association CurrentSince Sep 1, 2019 Accepting new patients
Mercy Hospital Springfield CurrentSince May 20, 2024 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 18, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Oct 5, 2015 Accepting new patients
Mercy Hospital Aurora CurrentSince Oct 5, 2015 Accepting new patients
Cox-Monett Hospital, Inc. CurrentSince Mar 23, 2026 Accepting new patients
Citizens Memorial Hospital District CurrentSince Jan 11, 2026 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Aug 11, 2014 Accepting new patients
Mercy Hospital Aurora CurrentSince Oct 5, 2015 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 24, 2019 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1965 S Fremont Ave
Ste 230
Springfield, MO 65804
Phone (417) 820-3809

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

Interoperability endpoints

  • Direct secure messaging: lgilmore12407@directb.mercy.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1629484647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 S Fremont Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042258",
            "country_code": "US",
            "telephone_number": "417-820-7250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Main St",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656251610",
            "country_code": "US",
            "telephone_number": "417-847-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655369210",
            "country_code": "US",
            "telephone_number": "417-553-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052365",
            "country_code": "US",
            "telephone_number": "417-678-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657088258",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "LISA",
        "middle_name": "L.",
        "credential": "DNP, ACCNS, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "MO",
            "license": "2014022682",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "2014024621",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018035616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.