Lisa R Stanley, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Lisa R Stanley, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Radiology P C and her current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 432-1568.

Lisa R Stanley is licensed to practice in Indiana (license number 71001366) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033155726.

Contact Information

	Lisa R Stanley, NP
	5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701
	(260) 432-1568
	(260) 432-4969

Map and Direction

Provider's Profile

Full Name	Lisa R Stanley
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	5001 Us Highway 30 W Ste D, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa R Stanley graduated from nursing school in 2001

NPI Data:

NPI Number: 1033155726
Provider Enumeration Date: 06/21/2006
Last Update Date: 03/10/2020

Medicare PECOS Information:

PECOS PAC ID: 9335293158
Enrollment ID: I20090813000350

Medical Identifiers

Medical identifiers for Lisa R Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033155726	NPI	-	NPPES
200387770	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71001366 (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Marion General Hospital	Marion, IN	Hospital
Kosciusko Community Hospital	Warsaw, IN	Hospital
Dupont Hospital Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Radiology P C	0143295410	85

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. Lisa R Stanley allows following entities to bill medicare on her behalf.

Entity Name	Summit Radiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073584587 PECOS PAC ID: 0143295410 Enrollment ID: O20040831000152

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. Lisa R Stanley 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 Address	Practice Location Address
Lisa R Stanley, NP 7221 Engle Rd, Ste 220, Fort Wayne, IN 46804-2233 Ph: (260) 432-1568	Lisa R Stanley, NP 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 Ph: (260) 432-1568

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Lisa R Stanley, NP - Medicare Nurse Practitioner in Fort Wayne, IN