Individual provider Active NPI

Lisa J Felsman, MD

  • Family Medicine Physician
  • Bristol, IN
National Provider Identifier
1740501444
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01072043A Issued in IN
Practice address
306 E Vistula
Bristol, IN 46507-9489
Phone
(574) 848-4427
Fax
(574) 848-4592
NPI assigned
Jun 16, 2010
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 01072043A IN Primary

Addresses

Primary practice location

306 E Vistula
Bristol, IN 46507-9489

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Other practice location 1

3301 County Road 6 E
Elkhart, IN 46514-7673
Phone (574) 264-9635

Other identifiers 1

IdentifierTypeStateIssuer
201090720MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FELSMAN@mybeacon.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000911 IN Practitioner - Family Practice 2365692480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

306 E Vistula St
Beacon Medical Group Bristol
Bristol, IN 46507-9489
Phone (574) 848-4427

6913 N Main St
Granger, IN 46530-8039

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Family Medicine Current Accepting new patients
Beacon Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
Beacon Medical Group, Inc. Family Medicine CurrentSince Nov 1, 2013 Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

306 E Vistula St
Bristol, IN 46507
Phone (219) 264-9635

3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

Interoperability endpoints

  • Direct secure messaging: felsman@mybeacon.cernerdirect.com
  • Direct secure messaging: lfelsman@mybeacon.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1740501444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E VISTULA",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465079489",
            "telephone_number": "574-848-4427",
            "fax_number": "574-848-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 County Road 6 E",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465147673",
            "country_code": "US",
            "telephone_number": "574-264-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELSMAN",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072043A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201090720",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FELSMAN@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "306 E Vistula St",
            "city": "Bristol",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465079489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bristol, IN

Sources for this page

Verify at the official NPI Registry.