Individual provider Active NPI

Karrie Marie Lisboa, ARNP

  • Nurse Practitioner
  • Osceola, IA
National Provider Identifier
1952814980
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A123040 Issued in IA
Practice address
800 S Fillmore St
Osceola, IA 50213-1694
Phone
(641) 342-5454
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A123040 IA Primary

Addresses

Primary practice location

800 S Fillmore St
Osceola, IA 50213-1694

Mailing address

235 Gray Ave
Waukee, IA 50263-9778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20180104000169 IA Practitioner - Nurse Practitioner 6305104993 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000

3 S 4TH Ave
Upc Hospitalists
Marshalltown, IA 50158-2924
Phone (641) 754-5997

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

55 Unitypoint Way
Marshalltown, IA 50158-4749
Phone (641) 328-7483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A123040IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Mar 4, 2019 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Mar 4, 2019 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Mar 4, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 20, 2023 Accepting new patients
Unitypoint Health - Marshalltown Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

400 E Court Ave
Ste 110
Des Moines, IA 50309

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

55 Unitypoint Way
Ste 50
Marshalltown, IA 50158
Phone (641) 854-8550

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

800 S Fillmore St
Rm D120
Osceola, IA 50213
Phone (641) 342-5000

1825 Logan Ave
Ste 201
Waterloo, IA 50703

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kregan199364@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1952814980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GRAY AVE",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FILLMORE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131694",
            "telephone_number": "641-342-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISBOA",
        "first_name": "KARRIE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A123040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

Sources for this page

Verify at the official NPI Registry.