Individual provider Active NPI

Lisa Leanne Hauerland, PA-C

  • Surgical Physician Assistant
  • Independence, MO
National Provider Identifier
1891946315
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2007033581 Issued in MO
Practice address
19550 E 39TH St S Ste 230
Independence, MO 64057-2309
Phone
(816) 795-6630
NPI assigned
Oct 2, 2008
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2007033581 MO
Surgical Physician Assistant 363AS0400X 2007033581 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 230
Independence, MO 64057-2309

Mailing address

8612 NE 73Rd CT
Kansas City, MO 64158-4404
Phone (816) 405-9414

Other identifiers 1

IdentifierTypeStateIssuer
43727031OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20041220000873 MO Practitioner - Physician Assistant 4385602580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpoint Orthopedics, LLCGroup PAC ID 8022107028, 3 clinicians

Practice addresses (Care Compare)

19550 E 39TH St S
Suite 230a
Independence, MO 64057-2358
Phone (816) 795-6630

19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 276-9230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
89.71
Promoting interoperability
100
Improvement activities
40
Cost
53.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2007033581MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation Past Accepting new patients
Weight Loss Surgical Center LLC Past Accepting new patients
Midwest Doctors Group, LLC PastSince May 14, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1891946315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8612 NE 73RD CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641584404",
            "telephone_number": "816-405-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 230",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572309",
            "telephone_number": "816-795-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUERLAND",
        "first_name": "LISA",
        "middle_name": "LEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2007033581",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2007033581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43727031",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.