Lisa M McDaniel, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-77546-061 Issued in KS

Practice address

1418 S Main St
Ste 5
Ottawa, KS 66067-3543

Phone

(785) 242-1620

Fax

(785) 242-5061

NPI assigned

Feb 3, 2017

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa M McMullin Former name

Medicare fee-for-service enrollment

Enrolled in KS

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ottawa Family Physicians, CharteredGroup PAC ID 7416900113, 11 clinicians

Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.71 of 100Reported as group

Quality

80.22

Improvement activities

40

Cost

58.74

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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.

• Kansas Medical Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Topeka, KS
  • NPI 1508877523
  Medicare reassignment Care Compare group NPD
• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1477598837
  Medicare reassignment Care Compare group NPD
• Ottawa Family Physicians, Chartered

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1023558541
  NPD
• Kansas Medical Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Topeka, KS
  • NPI 1467825679
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1932647450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST",
            "address_2": "STE 5",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673543",
            "telephone_number": "785-242-1620",
            "fax_number": "785-242-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S MAIN ST",
            "address_2": "STE 5",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673543",
            "telephone_number": "785-242-1620",
            "fax_number": "785-242-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3511 Clinton Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660472213",
            "country_code": "US",
            "telephone_number": "785-331-4488",
            "fax_number": "785-331-4338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Mur Len Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621794",
            "country_code": "US",
            "telephone_number": "913-738-8033",
            "fax_number": "913-738-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77546-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCMULLIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Larry J Matney, DC
• Adam L Maxwell, D.C.
• Delayne May, LCPC
• Regan McAlister
• Jo Anna McCalla, MD
• Megan M McFadden, LMLP
• Carlyle B McGuire, PHARMD
• Megan Renee McMahan, MSPT
• Mary Jane McPherson
• Ryan Meyer, PT

• Family Nurse Practitioner in Ottawa, KS
• Providers in Ottawa, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.