Lisa Faye Clunie, MD
Individual provider Active NPI Family Medicine Physician · Corydon, IN
NPI 1912995259 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1912995259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01058900A (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Owned or controlled facilities with NPI records 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Harrison County Hospital |
Hospital | W-2 Managing Employee | Jan 8, 2022 |
| Harrison County Hospital |
Hospital | Corporate Officer (100%) W-2 Managing Employee (100%) |
Jan 8, 2022 Jul 26, 2004 |
| Orchard Pointe Health Campus |
Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body |
Jan 8, 2022 Jan 8, 2022 |
| Harrison Springs Health Campus |
Skilled nursing facility | Operational/Managerial Control | Jan 8, 2022 |
| The Springs of Mooresville |
Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body |
Jan 8, 2022 Jan 8, 2022 |
| River Terrace Health Campus |
Skilled nursing facility | Corporate Officer Operational/Managerial Control Managing Control - Governing Body |
Jan 8, 2022 Jan 8, 2022 Jan 8, 2022 |
| Thornton Terrace Health Campus |
Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body |
Jan 8, 2022 Jan 8, 2022 |
| St Andrews Health Campus |
Skilled nursing facility | Corporate Director Operational/Managerial Control |
Jan 8, 2022 Jan 8, 2022 |
| Ridgewood Health Campus |
Skilled nursing facility | Operational/Managerial Control | Jan 8, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041014001067 | IN | Practitioner - Family Practice | 7012977911 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison County Hospital | Current |
Accepting new patients | |
| Harrison County Hospital | Current |
Accepting new patients | |
| Harrison County Hospital | Family Medicine | Past | Accepting new patients |
Locations
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
1995 Edsel Ln NW
Ste 3
Corydon, IN 47112
Phone (812) 225-5480
1263 Hospital Dr NW
Ste 250
Corydon, IN 47112
Phone (812) 738-4915
245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912
Interoperability endpoints
- lclunie@hcin.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01058900A | IN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200487550 | Medicaid | IN | |
| 000000345157 | Other | IN | ANTHEM |
Other names
- Lisa F Kellum
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LClunie@hcin.cernerdirect.com |
Other providers in Corydon, IN
- William Cho
- Christie Michelle Clare
- Clarksville Emergency Group, PC
- Clarksville Physician Services PC
- Michele Clifton
- Scott D Cobel
- Stefanie Ann Colavito
- Michelle L Collins
- Emily Ryan Colville
- Carlie Combs
All providers in Corydon, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.