Lisa Michelle Jeanson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-3665-0 Issued in HI

Practice address

75-170 Hualalai Rd Ste D214
Kailua Kona, HI 96740-1780

Phone

(808) 325-5805

Fax

(086) 574-7968

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.jeanson.1@15729.direct.athenahealth.com

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.

• Pacific Skin Institute LLC

  • Dermatology Physician
  • Waikoloa, HI
  • NPI 1710842661
  Medicare reassignment
• Lawrence Derbes MD Inc.

  • Interventional Cardiology Physician
  • Kamuela, HI
  • NPI 1578702007
  NPD (past)
• Express Care Ak LLC

  • Clinic/Center
  • Eagle River, AK
  • NPI 1376003095
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1831139633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436149",
            "telephone_number": "808-887-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD STE D214",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-325-5805",
            "fax_number": "086-574-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANSON",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16232",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3665-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Jameson, LMHC
• Janet F. Matlock
• Serena D Jarvis, LMT
• Jasdo, Inc.
• Cindy A Jean-Rooney
• Jeff McBride, LMFT
• Amanda Grace Jensen, RN
• Kieun Jeon, MA, LMHC
• Jma Services LLC
• John Fox LCSW

• Family Nurse Practitioner in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.

Verify at the official NPI Registry.