Individual provider Active NPI

Lisa Diane Miller, FNP-C

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1700339694
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023141 Issued in MO
Practice address
1702 N Kingshighway St
Cape Girardeau, MO 63701-2122
Phone
(573) 339-2000
Fax
(573) 339-1876
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 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 2016023141 MO Primary

Addresses

Primary practice location

1702 N Kingshighway St
Cape Girardeau, MO 63701-2122

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160818000766 MO Practitioner - Nurse Practitioner 3779878590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, shared by 18 NPIs, 441 clinicians
Immediate Convenient Care LLCGroup PAC ID 0648313486, 23 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

150 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049

1702 N Kingshighway
Cape Girardeau, MO 63701-2122

1702 N Kingshighway St
Cape Girardeau, MO 63701-2122

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

211 Saint Francis Dr
Cape Girardeau, MO 63703-8399

2130 E Jackson Blvd
Saint Francis Clinic Jackson
Jackson, MO 63755-2907
Phone (573) 243-3115

24 S Mount Auburn Rd
Cape Girardeau, MO 63703-5049

420 Piedmont Ave
Piedmont, MO 63957-1024
Phone (573) 223-4233

48 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 335-8257

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
  • Madison Medical Center Hospital, Fredericktown, MO, CCN 261302
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

Merit-based Incentive Payment System (MIPS)

Final score
67.07 of 100Reported as apm
Quality
85.4
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016023141MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center CurrentSince Aug 26, 2016 Accepting new patients
Saint Francis Medical Center CurrentSince Aug 26, 2016 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Cape Laboratory & Pathology, LC Current Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1702 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 339-0483

48 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 335-8257

420 Piedmont Ave
Piedmont, MO 63957
Phone (573) 223-2526

Interoperability endpoints

  • Direct secure messaging: lmiller16395@surescripts.sfmc.net

Organizations & group practices 6

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.

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1700339694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N KINGSHIGHWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637012122",
            "telephone_number": "573-339-2000",
            "fax_number": "573-339-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.