NPIMap

Individual provider Active NPI

Lisa Faye Clunie, MD

  • Family Medicine Physician
  • Corydon, IN
National Provider Identifier
1912995259
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01058900A Issued in IN
Practice address
1995 Edsel LN NW
Suite 3
Corydon, IN 47112-3008
Phone
(812) 738-4915
Fax
(812) 734-1365
NPI assigned
Oct 11, 2005
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01058900A IN Primary

Addresses

Primary practice location

1995 Edsel LN NW
Suite 3
Corydon, IN 47112-3008

Mailing address

PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-8763

Other names 1

  • Lisa F Kellum Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LClunie@hcin.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001067 IN Practitioner - Family Practice 7012977911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01058900AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Jul 5, 2004 Accepting new patients
Harrison County Hospital CurrentSince Jul 5, 2004 Accepting new patients
Harrison County Hospital Family Medicine Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915

1995 Edsel Ln NW
Ste 3
Corydon, IN 47112
Phone (812) 225-5480

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

Interoperability endpoints

  • Direct secure messaging: lclunie@hcin.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrison County HospitalCorydon, IN, CCN 151331 Hospital W-2 Managing Employee Jan 8, 2022
Harrison County HospitalCorydon, IN, CCN 15Z331 Hospital Corporate Officer (100%)
W-2 Managing Employee (100%)		 Jan 8, 2022
Jul 26, 2004
Orchard Pointe Health CampusKendallville, IN, CCN 155851 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body		 Jan 8, 2022
Jan 8, 2022
Harrison Springs Health CampusCorydon, IN, CCN 155852 Skilled nursing facility Operational/Managerial Control Jan 8, 2022
The Springs of MooresvilleMooresville, IN, CCN 155842 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body		 Jan 8, 2022
Jan 8, 2022
River Terrace Health CampusMadison, IN, CCN 155849 Skilled nursing facility Corporate Officer
Operational/Managerial Control
Managing Control - Governing Body		 Jan 8, 2022
Jan 8, 2022
Jan 8, 2022
Thornton Terrace Health CampusHanover, IN, CCN 155734 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body		 Jan 8, 2022
Jan 8, 2022
St Andrews Health CampusBatesville, IN, CCN 155742 Skilled nursing facility Corporate Director
Operational/Managerial Control		 Jan 8, 2022
Jan 8, 2022
Ridgewood Health CampusLawrenceburg, IN, CCN 155789 Skilled nursing facility Operational/Managerial Control Jan 8, 2022

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1912995259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-8763",
            "fax_number": "812-738-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 EDSEL LN NW",
            "address_2": "SUITE 3",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123008",
            "telephone_number": "812-738-4915",
            "fax_number": "812-734-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUNIE",
        "first_name": "LISA",
        "middle_name": "FAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01058900A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LClunie@hcin.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1995 Edsel Ln NW",
            "address_2": "Suite 3",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471123008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KELLUM",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.