Individual provider Active NPI

Lisa M Forte, ACNP

  • Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1982771226
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000012385 Issued in TN
Practice address
103 Physicians Way Ste 120
Lebanon, TN 37090-4134
Phone
(615) 453-5623
Fax
(615) 453-8592
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000012385 TN Primary
Nurse Practitioner 363L00000X RN151900 TN

Addresses

Primary practice location

103 Physicians Way Ste 120
Lebanon, TN 37090-4134

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070911000332 TN Practitioner - Nurse Practitioner 4284727918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

353 New Shackle Island Rd
Suite 204
Hendersonville, TN 37075-2379
Phone (615) 826-7173

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000012385TNMDNurse Practitioner
RN151900TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Apr 6, 2020 Accepting new patients
Tennessee Urgent Care Associates, LLC Past Accepting new patients
Tennessee Oncology PLLC PastSince Apr 6, 2020 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 204
Hendersonville, TN 37075
Phone (615) 826-7173

353 New Shackle Island Rd
Ste 204A
Hendersonvlle, TN 37075
Phone (615) 451-5481

204 Medical Dr
Ste 2
Lafayette, TN 37083

103 Physicians Way
Ste 120
Lebanon, TN 37090
Phone (615) 453-5623

1967 Hawks Lndg
Fl 2
Louisville, TN 37777
Phone (865) 284-4575

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

300 20th Ave N
Ste 301
Nashville, TN 37203
Phone (615) 284-2400

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1982771226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570",
            "fax_number": "615-320-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PHYSICIANS WAY STE 120",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904134",
            "telephone_number": "615-453-5623",
            "fax_number": "615-453-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000012385",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN151900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.