Individual provider Active NPI

Lyssa Morrison, CNP

  • Family Nurse Practitioner
  • Rockport, AR
National Provider Identifier
1972269785
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217818 Issued in AR
Practice address
1580 Tanner St
Rockport, AR 72104-2023
Phone
(501) 337-9994
Fax
(501) 601-1107
NPI assigned
Nov 16, 2021
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 217818 AR Primary

Addresses

Primary practice location

1580 Tanner St
Rockport, AR 72104-2023

Mailing address

1580 Tanner St
Rockport, AR 72104-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220317000708 AR Practitioner - Nurse Practitioner 4385039965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Health LLCGroup PAC ID 9133519531, 7 clinicians

Practice addresses (Care Compare)

1580 Tanner St
Rockport, AR 72104-2023
Phone (501) 337-9994

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Higginbotham MD PA CurrentSince Mar 1, 2022 Accepting new patients
Covenant Health LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

1002 Schneider Dr
Ste 104
Malvern, AR 72104
Phone (501) 332-7981

1580 Tanner St
Rockport, AR 72104
Phone (501) 337-9994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1972269785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 TANNER ST",
            "city": "ROCKPORT",
            "state": "AR",
            "postal_code": "721042023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 TANNER ST",
            "city": "ROCKPORT",
            "state": "AR",
            "postal_code": "721042023",
            "telephone_number": "501-337-9994",
            "fax_number": "501-601-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "LYSSA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, AR

Sources for this page

Verify at the official NPI Registry.