Lisa Anne Boffa, FNP, PMHNP, ND

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0990063-NP Issued in CO

Practice address

715 S 1St St
Montrose, CO 81401-3914

Phone

(970) 249-0442

Fax

(970) 249-8495

NPI assigned

Mar 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Montrose Psychiatric Nurse PractitionersGroup PAC ID 5991183014, 2 clinicians

Practice addresses (Care Compare)

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.

• Montrose Psychiatric Nurse Practitioners

  • Psychiatric/Mental Health Nurse Practitioner
  • Montrose, CO
  • NPI 1912642588

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• David M. Good, M.D., P. C.

  • Psychiatry Physician
  • Montrose, CO
  • NPI 1073770053
  NPD
• Voans Senior Community Care of Colorado, Inc.

  • PACE Provider Organization
  • Montrose, CO
  • NPI 1942478979
  NPD (past)

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1942508635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013914",
            "telephone_number": "970-964-8653",
            "fax_number": "970-249-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 1ST ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013914",
            "telephone_number": "970-249-0442",
            "fax_number": "970-249-8495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 Robins Way",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814015901",
            "country_code": "US",
            "telephone_number": "970-964-8653",
            "fax_number": "970-249-8495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOFFA",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "credential": "FNP, PMHNP, ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP-990063",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990063-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57009571",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloom2Function LLC
• Jordan Bloomer, PHARM. D
• Christine S Bloss, DDS
• Blue Mesa Foot & Ankle Centers Inc
• Bodywork Institute LLC
• Ruthann Bohler, PNP
• Dorothy Wojtkowski Boisen, DDS
• Andrew Bolton, M.D., M.P.H
• William Boniface
• Lois Boomer, OT

• Psychiatric/Mental Health Nurse Practitioner in Montrose, CO
• Providers in Montrose, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.