Active NPI
Jennifer Nicole Lisher, DPM
- Podiatrist
- Shelbyville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36.003397
- Practice address
- 275 W Bassett Rd
Shelbyville, IN 46176-8574 - Phone
- (317) 392-0003
- Fax
- (317) 392-0003
- NPI assigned
- Jul 6, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 070001053A | IN | |
| Podiatrist | 213E00000X | 36.003397 | OH | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36.003397 | OH |
Addresses
Primary practice location
275 W Bassett Rd
Shelbyville, IN 46176-8574
Mailing address
275 W Bassett Rd
Shelbyville, IN 46176-8574
Phone (317) 392-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200890930 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000301 | IN | Practitioner - Podiatry | 4385640671 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Major Multispecialty Associates
Practice addresses (Care Compare)
2451 Intelliplex Dr
Shelbyville, IN 46176-8581
30 W Rampart St
250 MHP Priority Care
Shelbyville, IN 46176-8897
Phone (317) 398-7644
Hospital & facility affiliations
- Major Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070001053A | IN | MD | Foot & Ankle Surgery Podiatrist |
| 36.003397 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Multispecialty Associates | Podiatrist | Current | Accepting new patients |
| Major Multispecialty Associates | Current | Accepting new patients | |
| Mark a Lazar DPM PC | Foot & Ankle Surgery | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Cincinnati Foot Clinic Inc. | Podiatrist | Past | Accepting new patients |
Locations
275 W Bassett Rd
Shelbyville, IN 46176
Phone (317) 392-2161
30 W Rampart St
Ste 180
Shelbyville, IN 46176
Phone (317) 392-0003
2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914
30 W Rampart St
Ste 200
Shelbyville, IN 46176
Phone (317) 398-0121
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Shelbyville, IN
- NPI 1437398492
IN, Podiatrist
-
- Orthopaedic Surgery Physician
- Shelbyville, IN
- NPI 1245405869
-
- Podiatrist
- Shelbyville, IN
- NPI 1154842896
-
- Sports Medicine (Family Medicine) Physician
- Shelbyville, IN
- NPI 1790083962
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Foot & Ankle Surgery Podiatrist
- Greenwood, IN
- NPI 1033315346
Foot & Ankle Surgery
-
- Podiatrist
- Cincinnati, OH
- NPI 1437105491
Hospital & facility affiliations 1
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": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1962434795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 W BASSETT RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768574",
"telephone_number": "317-392-0003",
"fax_number": "317-392-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W BASSETT RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768574",
"telephone_number": "317-392-0003",
"fax_number": "317-392-0003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISHER",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "070001053A",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36.003397",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36.003397",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200890930",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.