Individual provider Active NPI

Lisa Tay

  • Gerontology Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1861053662
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-78834 Issued in KS
Practice address
100 S Market St Ste 2C
Wichita, KS 67202-3824
Phone
(316) 755-0144
Fax
(844) 274-1204
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-78834 KS Primary

Addresses

Primary practice location

100 S Market St Ste 2C
Wichita, KS 67202-3824

Mailing address

100 S Market St Ste 2C
Wichita, KS 67202-3824
Phone (316) 755-0144

Other practice location 1

1901 N Maize Rd
Wichita, KS 67212-5203
Phone (316) 462-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20190904000307 KS Practitioner - Nurse Practitioner 4789913583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1400 S Kansas Ave
Suite 1200
Newton, KS 67114-5305
Phone (316) 677-8877

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 689-9349

929 N Saint Francis St
Wichita, KS 67214-3821
Phone (316) 755-0144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.34 of 100Reported as group
Quality
67.95
Improvement activities
40
Cost
77.2

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Hospitalists of Kansas, LLC CurrentSince Jul 5, 2019 Accepting new patients
Premier Hospitalists of Kansas, LLC CurrentSince Jul 5, 2019 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Dec 15, 2025 Accepting new patients
Ascension Medical Group Via Christi, PA CurrentSince Dec 15, 2025 Accepting new patients
Ron J Marek DO P a PastSince May 23, 2001 Accepting new patients

Locations

445 N Westview Dr
Derby, KS 67037
Phone (316) 788-3739

929 N Saint Francis Ave
Fl 6
Wichita, KS 67214
Phone (316) 261-8303

100 S Market St
Ste 2C
Wichita, KS 67202

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

2828 N Governeour St
Wichita, KS 67226
Phone (316) 636-1000

3311 E Murdock St
Wichita, KS 67208
Phone (316) 689-9107

1555 N Meridian Ave
Wichita, KS 67203
Phone (316) 942-8471

3515 W Central Ave
Wichita, KS 67203
Phone (316) 942-0119

Organizations & group practices 6

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1861053662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023824",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST STE 2C",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023824",
            "telephone_number": "316-755-0144",
            "fax_number": "844-274-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672125203",
            "country_code": "US",
            "telephone_number": "316-462-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAY",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-78834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.