Individual provider Active NPI

Lisa Michelle McKinney, FNP-C

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1720576986
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008252A Issued in IN
Practice address
1946 45TH St
Munster, IN 46321-3986
Phone
(219) 703-2420
Fax
(219) 703-6765
NPI assigned
Apr 24, 2018
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209-017275 IL
Family Nurse Practitioner 363LF0000X 71008252A IN Primary

Addresses

Primary practice location

1946 45TH St
Munster, IN 46321-3986

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other practice location 1

7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723

Other practice location 2

9660 Wicker Ave
Saint John, IN 46373-9487
Phone (219) 365-1177

Other identifiers 1

IdentifierTypeStateIssuer
300006669MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190124003563 IN Practitioner - Nurse Practitioner 9032456389 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe HC Specialists LLCGroup PAC ID 5698184885, 8 clinicians
Informe Healthcare in LLCGroup PAC ID 9537407770, 14 clinicians

Practice addresses (Care Compare)

8800 Virginia PL
Merrillville, IN 46410-7109
Phone (219) 736-1310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-017275ILMDFamily Nurse Practitioner
71008252AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC CurrentSince Jan 15, 2019 Accepting new patients
Pinnacle Healthcare LLC CurrentSince Nov 1, 2021 Accepting new patients
Informe HC Specialists, LLC CurrentSince Oct 1, 2024 Accepting new patients
Community Care Network Inc CurrentSince May 1, 2023 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Nov 1, 2021 Accepting new patients
Informe Healthcare in, LLC CurrentSince Nov 4, 2024 Accepting new patients
The Methodist Hospitals, Inc PastSince Jan 15, 2019 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

745 N Swope St
Greenfield, IN 46140
Phone (317) 462-9221

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

8800 Virginia Pl
Merrillville, IN 46410
Phone (219) 736-1310

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

1946 45th St
Munster, IN 46321
Phone (219) 703-2420

1946 45th St
Ste C
Munster, IN 46321
Phone (219) 440-5334

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203

7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723

17475 Dugdale Dr
South Bend, IN 46635
Phone (574) 247-7500

475 N Niles Ave
South Bend, IN 46617
Phone (574) 246-4123

1551 Sturdy Rd
Ste 1
Valparaiso, IN 46383
Phone (219) 252-4892

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Interoperability endpoints

  • Direct secure messaging: lmckinney145851@ssdirect.comhs.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1720576986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 45TH ST",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213986",
            "telephone_number": "219-703-2420",
            "fax_number": "219-703-6765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7651 Harvest Dr",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463753476",
            "country_code": "US",
            "telephone_number": "219-322-5723",
            "fax_number": "219-440-5227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9660 Wicker Ave",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463739487",
            "country_code": "US",
            "telephone_number": "219-365-1177",
            "fax_number": "219-703-6662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-017275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008252A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300006669",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.