NPIMap

Individual provider Active NPI

Lisa Marie McKinney, APRN

  • Family Nurse Practitioner
  • Gardnerville, NV
National Provider Identifier
1962086041
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
838549 Issued in NV
Practice address
1107 US Highway 395 N
Gardnerville, NV 89410-5304
Phone
(775) 782-1500
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 838549 NV Primary

Addresses

Primary practice location

1107 US Highway 395 N
Gardnerville, NV 89410-5304

Mailing address

1722 Azalea CT
Minden, NV 89423-5113
Phone (775) 450-9501

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Gardnerville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210716002090 NV Practitioner - Nurse Practitioner 2365844008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Valley Medical Center Rural Health ClinicGroup PAC ID 2860579984, 43 clinicians

Practice addresses (Care Compare)

1520 Virginia Ranch Rd
Gardnerville, NV 89410-5731
Phone (775) 782-1550

Hospital & facility affiliations

  • Mission Home Health of Carson City Home health agency, Carson City, NV, CCN 297249
  • Centerwell Home Health Home health agency, Reno, NV, CCN 297022
  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Carson Valley Health Hospital, Gardnerville, NV, CCN 291306
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019
  • Barton Memorial Hospital Hospital, South Lake Tahoe, CA, CCN 050352

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
838549NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Carson Valley Medical Center Rural Health Clinic Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Past Accepting new patients

Locations

1520 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 782-1550

1516 Virginia Ranch Rd
Gardnerville, NV 89410
Phone (775) 783-3020

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

897 Ironwood Dr
Ste 202
Minden, NV 89423
Phone (775) 364-1411

Interoperability endpoints

  • Direct secure messaging: lmckinney67032@direct.renown.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1962086041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 AZALEA CT",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894235113",
            "telephone_number": "775-450-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 US HIGHWAY 395 N",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105304",
            "telephone_number": "775-782-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "838549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gardnerville",
            "affiliation": "N",
            "endpointDescription": "CVMC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1107 US Highway 395 N",
            "city": "Gardnerville",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894105304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.