Mrs Lisa D Stults, FNP - Medicare Nurse Practitioner in Kokomo, IN

Mrs Lisa D Stults, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. Her current practice location is 1907 W Sycamore St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 456-5900.

Mrs Lisa D Stults is licensed to practice in Indiana (license number 71001805A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033181599.

Contact Information

Mrs Lisa D Stults, FNP
1907 W Sycamore St,
Kokomo, IN 46901-5148
(765) 456-5900
Not Available



Provider's Profile

Full NameMrs Lisa D Stults
GenderFemale
SpecialityNurse Practitioner - Family
Location1907 W Sycamore St, Kokomo, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033181599
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 02/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4880628486
  • Enrollment ID: I20050922001140

Medical Identifiers

Medical identifiers for Mrs Lisa D Stults such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033181599NPI-NPPES
000000556066OtherINANTHEM-BCBS
200522480MedicaidIN
1033181599MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71001805A (Indiana)Primary
363L00000XNurse Practitioner 71001805A (Indiana)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lisa D Stults allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366768160
PECOS PAC ID: 9234041948
Enrollment ID: O20090318000016

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Entity NameAims Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376072785
PECOS PAC ID: 6406126572
Enrollment ID: O20170721002478

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Entity NameInforme Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407343965
PECOS PAC ID: 8123375474
Enrollment ID: O20180723000258

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Entity NameInforme Healthcare In, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992276638
PECOS PAC ID: 9537407770
Enrollment ID: O20190213000486

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Entity NameInforme Hc Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255917647
PECOS PAC ID: 5698184885
Enrollment ID: O20210428002612

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Entity NamePsych Pointe, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861087355
PECOS PAC ID: 1557764016
Enrollment ID: O20210722000410

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lisa D Stults is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lisa D Stults, FNP
10330 N Meridian St # 300,
Indianapolis, IN 46290-1024

Ph: () -
Mrs Lisa D Stults, FNP
1907 W Sycamore St,
Kokomo, IN 46901-5148

Ph: (765) 456-5900

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Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3500 S Lafountain St, Kokomo, IN 46902
Phone: 765-453-8571    Fax: 765-453-8637
Miranda Tedder,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Mandy Vires, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902
Phone: 317-654-3487    
Raymond Candelaria,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902
Phone: 765-776-8700    
Angela J Bowman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901
Phone: 765-453-1254    Fax: 765-864-8732
Mary Hendrix,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902
Phone: 765-864-4160    

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