Individual provider Active NPI

Lisa Marie Perkins, FNP-BC

  • Family Nurse Practitioner
  • Dundee, FL
National Provider Identifier
1780197111
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9279638 Issued in FL
Practice address
28149 Hwy 27
Dundee, FL 33838-4274
Phone
(863) 438-9110
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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 ARNP9279638 FL Primary

Addresses

Primary practice location

28149 Hwy 27
Dundee, FL 33838-4274

Mailing address

98 Center St
Winter Haven, FL 33880-5313
Phone (863) 514-6761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200317002716 NC Practitioner - Nurse Practitioner 4981032349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon Family Medical Care PLLCGroup PAC ID 3173921509, 2 clinicians

Practice addresses (Care Compare)

195 Franklin PLZ
Franklin, NC 28734-3249
Phone (828) 576-7058

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9279638FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macon Family Medical Care, PLLC CurrentSince May 1, 2025 Accepting new patients
Smoky Mountain Urgent Care PC CurrentSince Dec 28, 2019 Accepting new patients
Smoky Mountain Urgent Care PC CurrentSince Dec 28, 2019 Accepting new patients

Locations

80 Veterans Blvd
Bryson City, NC 28713
Phone (828) 538-4546

195 Franklin Plz
Franklin, NC 28734
Phone (828) 369-4427

36 Westgate Plz
Franklin, NC 28734
Phone (828) 349-8288

Organizations & group practices 3

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1780197111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CENTER ST",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805313",
            "telephone_number": "863-514-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28149 HWY 27",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384274",
            "telephone_number": "863-438-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9279638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, FL

Sources for this page

Verify at the official NPI Registry.