Individual provider Active NPI

Lisa D McConnell, APN

  • Family Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1659608479
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10052 Issued in CO
Practice address
1300 N 17TH Ave
Greeley, CO 80631-9584
Phone
(970) 350-5313
Fax
(970) 346-1166
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0010052 CO
Family Nurse Practitioner 363LF0000X 10052 CO Primary

Addresses

Primary practice location

1300 N 17TH Ave
Greeley, CO 80631-9584

Mailing address

1901 10TH Ave
Greeley, CO 80639-5545
Phone (970) 515-3834

Other identifiers 1

IdentifierTypeStateIssuer
43180817MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20091223000232 CO Practitioner - Nurse Practitioner 7214077296 Reassigns benefits to 3 organizations
Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Range Behavioral HealthGroup PAC ID 1951299486, 20 clinicians

Practice addresses (Care Compare)

1300 N 17TH Ave
Greeley, CO 80631-9584
Phone (970) 347-2120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0010052COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Health LLC Psychiatric/Mental Health Current Accepting new patients
North Range Behavioral Health CurrentSince May 1, 2024 Accepting new patients
Sunrise Community Health Current Accepting new patients
Sunrise Community Health CurrentSince Aug 27, 2013 Accepting new patients
Sunrise Community Health CurrentSince Aug 27, 2013 Accepting new patients
North Range Behavioral Health Current Accepting new patients
Colorado Urgent Care PLLC PastSince Sep 8, 2024 Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

1901 10th Ave
Greeley, CO 80639
Phone (970) 351-2412

1300 N 17th Ave
Greeley, CO 80631
Phone (970) 475-6016

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1659608479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 10TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806395545",
            "telephone_number": "970-515-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584",
            "telephone_number": "970-350-5313",
            "fax_number": "970-346-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0010052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "10052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43180817",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.