Lisa Lee Brock, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4027305 Issued in KY

Practice address

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Phone

(606) 256-4148

Fax

(606) 256-2753

NPI assigned

Sep 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockcastle County Hospital, Inc.Group PAC ID 6103727433, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rockcastle County Hospital, Inc. Hospital, Mount Vernon, KY, CCN 180115
• CHI Saint Joseph Berea NF Hospital, Berea, KY, CCN 181329

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rockcastle County Hospital, Inc.

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714

  KY

  Medicare reassignment Care Compare group NPD
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1255645040
  Care Compare group NPD
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1205177912
  Care Compare group NPD (past)
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Brodhead, KY
  • NPI 1295275972
  Care Compare group
• Rockcastle County Hospital, Inc.

  • Rural Health Clinic/Center
  • Mount Vernon, KY
  • NPI 1396263000
  Care Compare group
• Rockcastle County Hospital, Inc.

  • Skilled Nursing Facility
  • Mount Vernon, KY
  • NPI 1457324246
  Care Compare group
• Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic

  • Internal Medicine Physician
  • Mount Vernon, KY
  • NPI 1134264799
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rockcastle County Hospital, Inc.

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1437150984

  Hospital

  Care Compare affiliation
• Saint Joseph Health System, Inc

  • Critical Access Hospital
  • Berea, KY
  • NPI 1740488386

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1922833458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-4148",
            "fax_number": "606-256-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LISA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4027305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Bishop
• Teresa Blair, RD
• Jessica Boggs, PHARMD
• Debora Kaye Bowles, OTR/L
• David Lawrence Brabon, M.D.
• Tanya M Brock, PHARM D
• Crystal D Brown, ARNP
• Courtney Parrish Browning, APRN, PNP-BC
• David Shirley Bullock, M.D.
• Hannah Renee Bullock, MD

• All providers in Mount Vernon, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.