Individual provider Active NPI

Lisa Marie Scheresky O'Neil, PHD, MSN, APRN

  • Nurse Practitioner
  • Box Elder, MT
National Provider Identifier
1821585209
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NUR-APRN-LIC-191101 Issued in MT
Practice address
6850 Upper Box Elder Road
Box Elder, MT 59521
Phone
(406) 395-1600
Fax
(406) 395-1804
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 NUR-APRN-LIC-191101 MT Primary
Registered Nurse 163W00000X 21321 MT

Addresses

Primary practice location

6850 Upper Box Elder Road
Box Elder, MT 59521

Mailing address

6850 Upper Box Elder Road
Box Elder, MT 59521
Phone (406) 395-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220809002879 TX Practitioner - Nurse Practitioner 4284016155 Reassigns benefits to 1 organization
I20260317003488 MT Practitioner - Nurse Practitioner 4284016155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

669 Agency Main St
Harlem, MT 59526-9455
Phone (406) 353-3919

Hospital & facility affiliations

  • P H S Indian Hospital-Ft Belknap at Harlem - Cah Hospital, Harlem, MT, CCN 271315
  • Northern Montana Hospital Hospital, Havre, MT, CCN 271348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21321MTMDRegistered Nurse
NUR-APRN-LIC-191101MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince May 19, 2022 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

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 and National Provider Directory roles.

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1821585209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 UPPER BOX ELDER ROAD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "59521",
            "telephone_number": "406-395-1600",
            "fax_number": "406-395-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 UPPER BOX ELDER ROAD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "59521",
            "telephone_number": "406-395-1600",
            "fax_number": "406-395-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERESKY O'NEIL",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PHD, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-191101",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "21321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Box Elder, MT

Sources for this page

Verify at the official NPI Registry.