Lisa Sytsma
Individual provider Active NPI Family Health Clinical Nurse Specialist · Colfax, IA
NPI 1770937682 · NPPES record last updated Dec 18, 2017
Key facts
- NPI
- 1770937682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Health Clinical Nurse Specialist 364SF0001X
- License
- A133377 (IA)
- Practice address
- 107 N Walnut St
Colfax, IA 50054-1039 - Phone
- (515) 674-9020
- Fax
- (515) 674-9155
- NPI assigned
- Apr 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.45 of 100
- Quality
- 33.03
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 75.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231017003210 | FL | Practitioner - Nurse Practitioner | 0446549315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pcma Palliative Division LLC | Current |
Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Past | Accepting new patients | |
| Prairie City Family Clinic | Past | Accepting new patients |
Locations
2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A133377 | IA | |
| Family Health Clinical Nurse Specialist | 364SF0001X | A133377 | IA | Yes |
Addresses
Primary practice location
107 N Walnut St
Colfax, IA 50054-1039
Mailing address
107 N Walnut St
Colfax, IA 50054-1039
Phone (515) 674-9020
Other providers in Colfax, IA
- New Care Clinics LLC
- Diane Lea Oswalt
- Skiff Medical Center
- Spring City Pharmacy, LLC
- Spring City Pharmacy, LLC
- Terri L Telfer
- Trier Family Chiropractic LLC
- Jayme J Trier
- Brittney Van Houweling
- Lindsey Marie Wilkening
All providers in Colfax, IA · Family Health Clinical Nurse Specialist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.