| Jinna Lisenbe, ANP | |
|
1060 W 10th St, Rolla, MO 65401-2905 | |
| (573) 364-9000 | |
| (573) 426-5341 |
| Full Name | Jinna Lisenbe |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1060 W 10th St, Rolla, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245658335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2014004531 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pcrmc Medical Group, Inc | 1557454063 | 90 |
| Entity Name | Pcrmc Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Jinna Lisenbe, ANP 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Jinna Lisenbe, ANP 1060 W 10th St, Rolla, MO 65401-2905 Ph: (573) 364-9000 |
Mr. Steven R Ballard, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-308-1301 Fax: 573-202-2480 | |
Ms. Candy Sadler, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-426-2214 Fax: 573-458-8316 | |
Ms. Y'vonda Darlene Holmes, APRN, FNP, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401 Phone: 573-458-6326 | |
Alexis West, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1060 S Bishop Ave, Rolla, MO 65401 Phone: 573-426-5900 | |
Meredith Leigh Napierala, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 | |
Karene Marie Goodman, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 St Rt Cc, Rolla, MO 65401 Phone: 573-308-5044 Fax: 573-341-5300 | |
Angela Christine Middleton, FNP-BC, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W 10th St, Rolla, MO 65401 Phone: 573-458-8899 |