LISA M ZOELLNER-GULLETTE APRN BC NPI 1013092725
Nurse Practitioner in Cape Girardeau, MO

About LISA M ZOELLNER-GULLETTE APRN BC

Lisa Zoellner-gullette is a provider established in Cape Girardeau, Missouri and her medical specialization is Nurse Practitioner with more than 26 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 1997. The NPI number of Lisa Zoellner-gullette is 1013092725 and was assigned on October 2006. The practitioner's primary taxonomy code is 363L00000X with license number 130724 (MO). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1013092725
Provider Name LISA M ZOELLNER-GULLETTE APRN BC
Location Address24 S MOUNT AUBURN RD CAPE GIRARDEAU, MO 63703
Location Phone(573) 331-5544
Mailing AddressPO BOX 801143 KANSAS CITY, MO 64180
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?No
Enumeration Date10-25-2006
Last Update Date03-03-2021

A nurse practitioner (NP) like Lisa M Zoellner-gullette Aprn Bc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.Lisa Zoellner-gullette is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Lisa Zoellner-gullette is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Saint Francis Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 91.5, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.01 for a new patient copayment and $24.31 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.130724
License StateMO
Taxonomy Description(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LISA M ZOELLNER-GULLETTE APRN BC
24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 331-5544
Fax: (573) 331-5545

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Mailing Address

LISA M ZOELLNER-GULLETTE APRN BC
PO BOX 801143
KANSAS CITY, MO
ZIP 64180
Phone: (573) 331-5583
Fax: (573) 331-5079


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID2466554175
PECOS Enrollment IDI20070227000615
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 63703 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$54.2 $167.17 $84.04
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.55 $41.79 $21.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.43 $136.28 $97.26
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.1 $34.07 $24.31

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 61
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 91.5
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lisa Zoellner-gullette is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAINT FRANCIS MEDICAL CENTER211 ST FRANCIS DR
CAPE GIRARDEAU, MO 63703
(573) 331-3000Acute Care Hospitals260183

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0279934-22OTHER (01)MOMO CERTIFICATION NUMBER
130724OTHER (01)MOMO STATE LICENSE

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013092725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202309474
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 4 + 7 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1013092725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043341928 ANDREA FAULKNER NP
Individual
Nurse Practitioner (Adult Health)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544
1801028824 ANAND NARASIMHADEVAR VENKATA M.D
Individual
Internal Medicine (Pulmonary Disease)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544
1760476519 BRADLEY KEITH BITTLE MD
Individual
Internal Medicine (Pulmonary Disease)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544
1396763645 RAFID J HUSSEIN DO
Individual
Internal Medicine (Gastroenterology)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-3350
1942228028 WILLIAM GRAHAM M.D.
Individual
Internal Medicine (Pulmonary Disease)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544
1699930834 LETICIA M. KELLEY F.N.P.
Individual
Nurse Practitioner (Family)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544
1861877383 FADULELMOLA FADUL MD
Individual
Internal Medicine (Pulmonary Disease)24 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 63703
(573) 331-5544

Frequently Asked Questions

What is Lisa Zoellner-gullette APRN BC NPI number?

The NPI number assigned to Lisa Zoellner-gullette APRN BC is 1013092725, registered as an "individual" on October 25, 2006

Where is Lisa Zoellner-gullette APRN BC located?

The provider is located at 24 S Mount Auburn Rd Cape Girardeau, Mo 63703 and the phone number is (573) 331-5544

Which is Lisa Zoellner-gullette APRN BC specialty?

The provider's speciality is Nurse Practitioner

How many years of experience does Lisa Zoellner-gullette APRN BC have?

The provider has more than 26 years of experience. She graduated from University Of Missouri, Columbia School Of Medicine in 1997.

What insurance does Lisa Zoellner-gullette APRN BC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Lisa Zoellner-gullette APRN BC registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Lisa Zoellner-gullette APRN BC?

Medicare beneficiaries should expect a typical cost of $84.04 with an average copayment of $21.01 for new patient appointments. Established patients should expect a typical charge of $97.26 and an average copayment of 24.31. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Lisa Zoellner-gullette APRN BC affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: SAINT FRANCIS MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Lisa Zoellner-gullette APRN BC was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]