NPIMap

Individual provider Active NPI

Lisa Martin, RN

  • Family Nurse Practitioner
  • Isabel, SD
National Provider Identifier
1922497866
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022094904 Issued in SD
Practice address
118 N Main St
Isabel, SD 57633
Phone
(605) 466-2120
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R034822 SD
Family Nurse Practitioner 363LF0000X 2022094904 SD Primary

Addresses

Primary practice location

118 N Main St
Isabel, SD 57633

Mailing address

PO Box 101
Isabel, SD 57633-0101

Other practice location 1

105 W Main St
Bison, SD 57620-7133
Phone (605) 244-5206

Other practice location 2

24276 Airport Rd
Eagle Butte, SD 57625
Phone (605) 964-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20230508001954 SD Practitioner - Nurse Practitioner 5597120931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health Care Inc 55 clinicians

Practice addresses (Care Compare)

118 N Main
Isabel, SD 57633
Phone (605) 466-2122

Hospital & facility affiliations

  • West Winds Health Services, Inc Home health agency, Faith, SD, CCN 437070
  • Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325
  • West River Regional Medical Center Hospital, Hettinger, ND, CCN 351330
  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R034822SDMDRegistered Nurse
2022094904SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health Care Inc CurrentSince May 1, 2023 Accepting new patients
Horizon Health Care Inc CurrentSince May 1, 2023 Accepting new patients
Horizon Health Care Inc Current Accepting new patients
Horizon Health Care Inc Past Accepting new patients

Locations

602 1st St NE
Ste 1
Wessington Springs, SD 57382
Phone (605) 539-1778

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 6

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1922497866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "576330101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N MAIN ST",
            "city": "ISABEL",
            "state": "SD",
            "postal_code": "57633",
            "telephone_number": "605-466-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bison",
            "state": "SD",
            "postal_code": "576207133",
            "country_code": "US",
            "telephone_number": "605-244-5206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24276 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Eagle Butte",
            "state": "SD",
            "postal_code": "57625",
            "country_code": "US",
            "telephone_number": "605-964-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SD",
            "license": "R034822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "2022094904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabel, SD

Sources for this page

Verify at the official NPI Registry.