Individual provider Active NPI

Lisa Lynn Walk-Reinard, M.D.

  • Family Medicine Physician
  • Penn Yan, NY
National Provider Identifier
1740396027
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
209529 Issued in NY
Practice address
207 1/2 Lake St
Penn Yan, NY 14527-1802
Phone
(315) 536-3362
Fax
(315) 536-6836
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209529 NY Primary

Addresses

Primary practice location

207 1/2 Lake St
Penn Yan, NY 14527-1802

Mailing address

207 1/2 Lake St
Penn Yan, NY 14527-1802
Phone (315) 536-3362

Other identifiers 1

IdentifierTypeStateIssuer
02080591MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwalkreinard233151@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090728000588 NY Practitioner - Family Practice 7012060718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Sep 1, 2015 Accepting new patients

Locations

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

207 Lake St
Penn Yan, NY 14527
Phone (315) 536-3362

207 Lake St
#1-2
Penn Yan, NY 14527
Phone (315) 536-3362

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 1

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 7

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1740396027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "315-536-3362",
            "fax_number": "315-536-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1/2 LAKE ST",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271802",
            "telephone_number": "315-536-3362",
            "fax_number": "315-536-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALK-REINARD",
        "first_name": "LISA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "209529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02080591",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwalkreinard233151@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "207 1/2 Lake St",
            "city": "Penn Yan",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145271802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.