Active NPI
Lisa Dutra, FNP-BC
- Family Nurse Practitioner
- Hyannis, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2286200
- Practice address
- 46 North St
Hyannis, MA 02601-3845 - Phone
- (508) 771-0006
- NPI assigned
- Sep 10, 2019
- Last updated
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2286200 | MA | Primary |
Addresses
Primary practice location
46 North St
Hyannis, MA 02601-3845
Mailing address
46 North St
Hyannis, MA 02601-3845
Phone (508) 771-0006
Other practice location 1
6 Granite State Ct
Brewster, MA 02631-2127
Phone (508) 247-7716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
46 N St
Suite 7
Hyannis, MA 02601-3845
Phone (508) 833-2639
860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.23 of 100
- Quality
- 56.78
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Current | Accepting new patients | |
| Medical Affiliates of Cape Cod, Inc. | Current | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032
46 North St
Ste 4
Hyannis, MA 02601
Phone (508) 771-0006
46 North St
Ste 7
Hyannis, MA 02601
Phone (508) 775-2295
Interoperability endpoints
- lchimbar11668@direct.capecodhealthcare.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hyannis, MA
- NPI 1770534927
-
- Rehabilitation Clinic/Center
- East Harwich, MA
- NPI 1629165634
-
- Ambulatory Surgical Clinic/Center
- Mashpee, MA
- NPI 1306391206
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1932758299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 NORTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013845",
"telephone_number": "508-771-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 NORTH ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013845",
"telephone_number": "508-771-0006"
}
],
"practiceLocations": [
{
"address_1": "6 Granite State Ct",
"address_purpose": "LOCATION",
"city": "Brewster",
"state": "MA",
"postal_code": "026312127",
"country_code": "US",
"telephone_number": "508-247-7716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTRA",
"first_name": "LISA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-10",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2286200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
- Duffy Health Center, Inc
- Kathryn Duffy-Saviano, RN
- Stephen John Dumaresq, CRNA
- Duncan Hearing Healthcare Centers of America LLC (Cape & Islands Hearing Centers II)
- Elizabeth Dunton, NP
- Heather Allyson Dyer, RN
- Svetlana Dzhadzharova
- Christopher Laurent Dziok, PA
- Kimberly A Earle, MS CCC/SLP CEIS
- Julianne Early, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.