| Lisa Kristine Mizeur, FNP | |
|
2600 Ne Neff Rd, Bend, OR 97701-6337 | |
| (541) 706-4800 | |
| (541) 706-4806 |
| Full Name | Lisa Kristine Mizeur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2600 Ne Neff Rd, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1003455742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202100982NP-PP (Oregon) | Primary |
| 207Q00000X | Family Medicine | 95013410 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Partners Home Health | Bend, OR | Home health agency |
| St Charles Medical Center Prineville | Prineville, OR | Hospital |
| St Charles Bend Campus | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 8729111513 | 379 |
| St Charles Health System Inc | 3870402852 | 174 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710160445 PECOS PAC ID: 3870402852 Enrollment ID: O20080206000153 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Kristine Mizeur, FNP 5100 Golden Hill Dr, Weed, CA 96094-9644 Ph: (530) 356-5342 | Lisa Kristine Mizeur, FNP 2600 Ne Neff Rd, Bend, OR 97701-6337 Ph: (541) 706-4800 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 |
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 |
Samantha Mullis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 |
Lindsey Lee Hurtado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1128 Nw Harriman St, Bend, OR 97703 Phone: 541-322-7500 Fax: 541-322-7565 |