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

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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

Map and Direction




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
Entity NameAims Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376072785
PECOS PAC ID: 6406126572
Enrollment ID: O20170721002478
Entity NameInforme Healthcare, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407343965
PECOS PAC ID: 8123375474
Enrollment ID: O20180723000258
Entity NameInforme Healthcare In, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992276638
PECOS PAC ID: 9537407770
Enrollment ID: O20190213000486
Entity NameInforme Hc Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255917647
PECOS PAC ID: 5698184885
Enrollment ID: O20210428002612
Entity NamePsych Pointe, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861087355
PECOS PAC ID: 1557764016
Enrollment ID: O20210722000410

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

Reviews and Comments


Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP
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Phone: 765-453-8571    Fax: 765-453-8637
Miranda Tedder,
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Raymond Candelaria,
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Phone: 765-776-8700    
Angela J Bowman, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901
Phone: 765-453-1254    Fax: 765-864-8732
Mary Hendrix,
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Medicare: Not Enrolled in Medicare
Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902
Phone: 765-864-4160    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.