Individual provider Active NPI

Lisa Madrid Velasquez, NP-C

  • Primary Care Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1821637208
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95013557 Issued in CA
Practice address
3300 Buena Vista Rd Ste K
Bakersfield, CA 93311-9750
Phone
(661) 664-5997
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95013557 CA Primary

Addresses

Primary practice location

3300 Buena Vista Rd Ste K
Bakersfield, CA 93311-9750

Mailing address

2611 S Fairfax Rd
Bakersfield, CA 93307-8501
Phone (661) 331-7387

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BAKERSFIELD Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001766 CA Practitioner - Nurse Practitioner 9931514346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family Health Care, a Professional CorporationGroup PAC ID 4385730407, 4 clinicians

Practice addresses (Care Compare)

3300 Buena Vista Rd
Suite K
Bakersfield, CA 93311-9750
Phone (661) 664-1682

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013557CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Health Care, a Professional Corporation CurrentSince Nov 7, 2020 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

3300 Buena Vista Rd
Ste K
Bakersfield, CA 93311
Phone (661) 664-1682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25086/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lisa.velasquez.1@25086.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1821637208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 S FAIRFAX RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933078501",
            "telephone_number": "661-331-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BUENA VISTA RD STE K",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119750",
            "telephone_number": "661-664-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "LISA",
        "middle_name": "MADRID",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95013557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BAKERSFIELD",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "BAKERSFIELD",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3300 Buena Vista Rd Ste K",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933119750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.