Individual provider Active NPI

Lisa Jo Edmister, CNM

  • Advanced Practice Midwife
  • Great Falls, MT
National Provider Identifier
1669722518
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NUR-RN-LIC-21386 Issued in MT
Practice address
1400 29TH St S
Suite 101
Great Falls, MT 59405-5316
Phone
(406) 761-7924
NPI assigned
Sep 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NUR-RN-LIC-21386 MT Primary

Addresses

Primary practice location

1400 29TH St S
Suite 101
Great Falls, MT 59405-5316

Mailing address

1400 29TH St S
Suite 101
Great Falls, MT 59405-5316
Phone (406) 761-7924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ledmister18704@benefishs.direct-ci.com Benefis Hospitals Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121128000351 MT Practitioner - Certified Nurse Midwife (CNM) 3173775087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals Inc 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-21386MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals, Inc. CurrentSince Nov 15, 2022 Accepting new patients
Benefis Hospitals Inc CurrentSince Nov 15, 2022 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

6850 Upper Box Elder Rd
Box Elder, MT 59521
Phone (406) 395-4374

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

2720 10th Ave S
Fl 2
Great Falls, MT 59405
Phone (406) 731-8865

2720 10th Ave S
#1
Great Falls, MT 59405

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

Organizations & group practices 14

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 14

Hospital & facility affiliations 4

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1669722518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055316",
            "telephone_number": "406-761-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055316",
            "telephone_number": "406-761-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTER",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-18",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "NUR-RN-LIC-21386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ledmister18704@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "2720 10th Ave S Fl 2",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594053240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.