Lisa Wanner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-079763 Issued in AL

Practice address

1256 Military St S
Hamilton, AL 35570-5003

Phone

(205) 921-6200

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marion Regional Medical Center, Inc.Group PAC ID 1658282322, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion Regional Medical Center Hospital, Hamilton, AL, CCN 010044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisawanner@nmhs.medalliesdirect.net

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.

• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Medicare reassignment Care Compare group NPD
• Relias Hospitalist Medicine Specialists of Hamilton LLC

  • Emergency Medicine Physician
  • Hamilton, AL
  • NPI 1356089874
  Medicare reassignment
• Marion Regional Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • Hamilton, AL
  • NPI 1992546758
  NPD
• Marion Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Hamilton, AL
  • NPI 1205254356
  NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Care Compare affiliation

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497744000000",
    "number": "1780114231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SETTLEMENT RD",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355707027",
            "telephone_number": "205-495-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705003",
            "telephone_number": "205-921-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-079763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Hamilton, AL
• Providers in Hamilton, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.