Active NPI
Lisse Daugaard-Hansen, RN, MSN, NP-C
- Family Nurse Practitioner
- Sonora, CA
National Provider Identifier
1780986497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004742
- Practice address
- 19747 Greenley Rd
Sonora, CA 95370-7074 - Phone
- (209) 536-3720
- Fax
- (209) 588-1570
- NPI assigned
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95088069 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95004742 | CA | Primary |
Addresses
Primary practice location
19747 Greenley Rd
Sonora, CA 95370-7074
Mailing address
19747 Greenley Rd
Sonora, CA 95370-7074
Phone (209) 536-3720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
680 Guzzi LN
Suite 105
Sonora, CA 95370-5288
Phone (209) 532-0126
Hospital & facility affiliations
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 81.74
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95088069 | CA | MD | Registered Nurse |
| 95004742 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Orthopedic Institute Medical Corporation | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Current | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients |
Locations
680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
19747 Greenley Rd
Ste N2
Sonora, CA 95370
Phone (209) 536-3720
680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792
19747 Greenley Rd
Sonora, CA 95370
Phone (209) 536-2665
13949 Mono Way
Sonora, CA 95370
Phone (209) 213-9184
Organizations & group practices 5
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.
-
- Radiation Oncology Clinic/Center
- Sonora, CA
- NPI 1891732418
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Sonora, CA
- NPI 1487967303
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1740582568
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
-
- Family Medicine Physician
- Groveland, CA
- NPI 1356332274
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1780986497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19747 GREENLEY RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953707074",
"telephone_number": "209-536-3720",
"fax_number": "209-588-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19747 GREENLEY RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953707074",
"telephone_number": "209-536-3720",
"fax_number": "209-588-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGAARD-HANSEN",
"first_name": "LISSE",
"name_prefix": "Ms.",
"credential": "RN, MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95088069",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.