MRS. LISA DELORIS SLADE FNP-BC - NPI 1013080027 - Nurse Practitioner in Hattiesburg, MS

Q: What is Lisa Slade's NPI number?

The NPI number for Lisa Slade is 1013080027. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Lisa Slade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Slade was last updated on January 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Lisa Deloris Slade Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA DELORIS SLADE FNP-BC (NPI 1013080027) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (R772518) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1013080027

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA DELORIS SLADECredential: FNP-BC

Location Address605 STADIUM DRHattiesburg, MS 39401-4156

Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-3700 · Fax (601) 450-2493

Phone(601) 450-0310

Fax(601) 450-0321

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 16, 2006

Last NPPES UpdateJanuary 9, 2015

✔ NPI 1013080027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R772518

605 STADIUM DR, Hattiesburg, MS 39401

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Other Identifiers 7

Other1719640P01MS · Cigna

Other11838342MS · Caqh Id #

Other9989130MS · Aetna

Other2888996MS · United Health Care

Other1043492770MS · First Choice Of Mississippi

Medicaid08700008MS

Medicare PIN512I500155MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa Deloris Slade Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244334571

PECOS Enrollment IDI20070327000300

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY DARLENE BOLTON FNP-BC

Nurse Practitioner (Family)