Active NPI
Lisa Ann Boone, NP
- Family Nurse Practitioner
- Madison Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704191012
- Practice address
- 27351 Dequindre Rd
Madison Heights, MI 48071-3487 - Phone
- (248) 967-7807
- Fax
- (248) 967-0767
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704191012 | MI | Primary |
Addresses
Primary practice location
27351 Dequindre Rd
Madison Heights, MI 48071-3487
Mailing address
22142 Gregory St
Dearborn, MI 48124-2750
Phone (313) 769-5877
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26901 Beaumont Blvd
Southfield, MI 48033-3849
27351 Dequindre Rd
Madison Heights, MI 48071-3487
27351 Dequindre Rd
Madison Heights, MI 48071-3499
2800 Livernois Rd
Suite 500
Troy, MI 48083-1219
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb Oakland Hospital | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients |
Locations
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- lboone1831401@epic00.shdirect.org
- lboone1118172@direct.hfhs.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Nurse Practitioner
- Warren, MI
- NPI 1578696092
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Social Worker
- Warren, MI
- NPI 1548609761
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1710259189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22142 GREGORY ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242750",
"telephone_number": "313-769-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27351 DEQUINDRE RD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713487",
"telephone_number": "248-967-7807",
"fax_number": "248-967-0767"
}
],
"practiceLocations": [
{
"address_1": "28050 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483365919",
"country_code": "US",
"telephone_number": "947-521-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704191012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.