Individual provider Active NPI

Lisa Michelle Boggs

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1790318103
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012816 Issued in KY
Practice address
3101 Richmond Rd
Lexington, KY 40509-1599
Phone
(859) 268-9866
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3012816 KY
Family Nurse Practitioner 363LF0000X 3012816 KY Primary

Addresses

Primary practice location

3101 Richmond Rd
Lexington, KY 40509-1599

Mailing address

1853 Bryan Station Rd
Lexington, KY 40505-2259
Phone (859) 806-8122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200423001883 KY Practitioner - Nurse Practitioner 3173953627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnold Healing 2 clinicians

Practice addresses (Care Compare)

225 Hospital Dr
Winchester, KY 40391-7624
Phone (859) 428-7709

Hospital & facility affiliations

  • Commonwealth Home Health Home health agency, Lexington, KY, CCN 187109
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012816KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Regional Physician Practices, LLC Nurse Practitioner CurrentSince Apr 6, 2020 Accepting new patients
Arnold Healing CurrentSince Jan 31, 2024 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Apr 24, 2023 Accepting new patients
Clark Regional Physician Practices LLC CurrentSince Apr 6, 2020 Accepting new patients

Locations

3101 Richmond Rd
Lexington, KY 40509
Phone (859) 268-9866

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

225 Hospital Dr
Ste 200A
Winchester, KY 40391
Phone (859) 737-6480

225 Hospital Dr
Bldg A
Winchester, KY 40391
Phone (859) 428-7709

225 Hospital Dr
Ste 105
Winchester, KY 40391
Phone (859) 428-7709

225 Hospital Dr
Ste 110
Winchester, KY 40391
Phone (859) 737-6490

225 Hospital Dr
Ste 120
Winchester, KY 40391
Phone (859) 737-8528

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 5

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1790318103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 BRYAN STATION RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052259",
            "telephone_number": "859-806-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 RICHMOND RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091599",
            "telephone_number": "859-268-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3012816",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.