Individual provider Active NPI

Lisa Genene Horgan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1770031320
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704168697 Issued in MI
Practice address
1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855
Phone
(517) 205-4841
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 4704168697 MI Primary

Addresses

Primary practice location

1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855

Mailing address

1201 E Michigan Ave Ste 200
Jackson, MI 49201-1855
Phone (517) 205-4841

Other practice location 1

744 W Michigan Ave Ste 300
Jackson, MI 49201-1900
Phone (517) 768-0600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lhorgan1@direct.hfhs.org Direct
Direct Messaging Address lhorgan1@direct.hfhs.org W.A. Foote Memorial Hospital, Inc.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170802003010 MI Practitioner - Nurse Practitioner 1052682416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
W. a. Foote Memorial Hospital, Inc.Group PAC ID 0244136067, 476 clinicians

Practice addresses (Care Compare)

1201 E Michigan Ave
200 Henry Ford Allegiance Pain Management C
Jackson, MI 49201-1855
Phone (517) 205-4841

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Family CurrentSince Mar 8, 2019 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 8, 2019 Accepting new patients
Kjam Health Services, PC Family Past Accepting new patients

Locations

1201 E Michigan Ave
Ste 200
Jackson, MI 49201
Phone (517) 204-4841

744 W Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-2146

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

744 W Michigan Ave
Ste 3
Jackson, MI 49201
Phone (517) 768-0600

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: lhorgan453170@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.

Hospital & facility affiliations 1

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1770031320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011855",
            "telephone_number": "517-205-4841",
            "fax_number": "517-205-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 200",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011855",
            "telephone_number": "517-205-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W Michigan Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011900",
            "country_code": "US",
            "telephone_number": "517-768-0600",
            "fax_number": "517-768-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORGAN",
        "first_name": "LISA",
        "middle_name": "GENENE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704168697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhorgan1@direct.hfhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jackson",
            "address_1": "1201 E Michigan Ave Ste 200",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhorgan1@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "W.A. Foote Memorial Hospital, Inc.",
            "address_1": "1201 E Michigan Ave Ste 200",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.