| Zebida T Lisso, APRN | |
|
1731 N 90th St, Kansas City, KS 66112-1515 | |
| (913) 732-5903 | |
| Not Available |
| Full Name | Zebida T Lisso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1731 N 90th St, Kansas City, Kansas |
| 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 |
|---|---|---|---|
| 1336592328 | NPI | - | NPPES |
| 110034021 | Other | KS | PTAN |
| 420123393 | Medicaid | MO | |
| 10030232001 | Medicaid | NE | |
| 30003913850015 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5377262021 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-77267 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Kansas Hospital | Kansas city, KS | Hospital |
| University Of Kansas Health System Olathe Hospital | Olathe, KS | Hospital |
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 591 |
| Inpatient Consultants Of Kansas Pa | 9335329556 | 15 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Zebida T Lisso, APRN 1731 N 90th St, Kansas City, KS 66112-1515 Ph: (913) 732-5903 | Zebida T Lisso, APRN 1731 N 90th St, Kansas City, KS 66112-1515 Ph: (913) 732-5903 |
Theresa Howard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd, Kansas City, KS 66160 Phone: 913-588-0653 |
Dr. Dylan Trent Severson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Southwest Blvd, Kansas City, KS 66103 Phone: 913-722-3100 Fax: 913-722-2542 |
Ms. Melanie J Reed, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8919 Parallel Parkway, East Tower, Suite 580, Kansas City, KS 66112 Phone: 913-596-7224 Fax: 913-596-7257 |
Jill S Keast, RN, MSN, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St Ste G600, Kansas City, KS 66160 Phone: 913-588-9700 |
Joann M Peterson, MSN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3901 Rainbow Blvd Msc 4043, Kansas City, KS 66160 Phone: 913-588-1645 |
Jenelle Pearson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Southwest Blvd, Kansas City, KS 66103 Phone: 913-722-3100 Fax: 913-722-2542 |
Kylene Yelton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 721 N 31st St Ste 101, Kansas City, KS 66102 Phone: 913-621-0074 Fax: 877-223-0571 |