Individual provider Active NPI

Elizabeth Campbell Lishman, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1679237432
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904897 Issued in MS
Practice address
53 Moss Woods Dr
Madison, MS 39110-9162
Phone
(662) 347-6017
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904897 MS Primary

Addresses

Primary practice location

53 Moss Woods Dr
Madison, MS 39110-9162

Mailing address

53 Moss Woods Dr
Madison, MS 39110-9162
Phone (662) 347-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220125002436 MS Practitioner - Nurse Practitioner 1153713144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Urology Clinic PLLCGroup PAC ID 6406830942, 14 clinicians

Practice addresses (Care Compare)

501 Marshall St
Suite 301
Jackson, MS 39202-1687
Phone (601) 353-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Urology Clinic, PLLC CurrentSince Sep 24, 2023 Accepting new patients
Mississippi Urology Clinic, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1040 River Oaks Dr
Ste 202
Jackson, MS 39232

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

501 Marshall St
Ste 301
Jackson, MS 39202

971 Lakeland Dr
Ste 657
Jackson, MS 39216
Phone (601) 200-2780

Interoperability endpoints

  • Direct secure messaging: elizabethlishman@muc.medalliesdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc32520_mississippiurologyclinic

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.

Hospital & facility affiliations 5

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1679237432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MOSS WOODS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109162",
            "telephone_number": "662-347-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MOSS WOODS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109162",
            "telephone_number": "662-347-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISHMAN",
        "first_name": "ELIZABETH",
        "middle_name": "CAMPBELL",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.