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LISA M. DUCOMMUN CNP
NPI 1023105616
Clinical Nurse Specialist in Cherokee, IA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
300 SIOUX VALLEY DR, CHEROKEE, IA 51012(712) 225-6265(712) 225-6800 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa M. Ducommun Cnp NPPES

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

LISA M. DUCOMMUN CNP (NPI 1023105616) is an individual clinical nurse specialist in Cherokee, Iowa, licensed in Iowa (A-097930) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1023105616
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameLISA M. DUCOMMUNCredential: CNP
Location Address300 SIOUX VALLEY DRCherokee, IA 51012-1205
Mailing Address300 Sioux Valley DrCherokee, IA 51012-1205 · (712) 225-6265 · Fax (712) 225-6800
Phone(712) 225-6265
Fax(712) 225-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 1, 2014
✔ NPI 1023105616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in IA · A-097930
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
300 SIOUX VALLEY DR, Cherokee, IA 51012
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Other Names 1

Former Name (1)Lisa M. Johnson

Other Identifiers 4

Medicaid0560631IA
OtherA-097930IA · Iowa License
Medicare PINI18874IA
Other27781IA · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M. Ducommun Cnp 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 ID8325048069
PECOS Enrollment IDI20070115000298
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Ducommun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sioux Valley Memorial Hospital Association
Same address
Nurse Anesthetist, Certified Registered
300 SIOUX VALLEY DR
Cherokee, IA 51012
  • Reassigned Medicare billing, Iowa enrollment
  • 36 clinicians in this Medicare group
NPI 1275500704 (712) 225-1505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161375
Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51012 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Appropriate Testing for Children with Pharyngitis
Percentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode
2%42 patients
Appropriate Treatment for Children with Upper Respiratory Infection (URI)
Percentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episode
25%53 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
3%173 patients1/55-star benchmark: 92%
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
63%117 patients3/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
10%307 patients1/55-star benchmark: 85%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
61%74 patients3/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
73%74 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,798 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,018 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
78%217 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
96%400 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%193 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%780 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
39%872 patients2/55-star benchmark: 88%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
91%400 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
99%109 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
11%400 patients1/55-star benchmark: 99%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 6% · 193 patients
12%193 patients2/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 40% · 220 patients
Patients physicalActivity: 42% · 220 patients
93%220 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers29 claims56 services$6.14 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers14 claims14 services$23.27 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers12 claims12 services$22.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims88 services$3.14 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$18.70 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$8.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

EDWIN N COOK D.O.
Radiology (Diagnostic Radiology)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
EMILY PETERSON
Physical Therapist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502
DR. JOHN ROBERT GREAVES DPM
Podiatrist (Foot & Ankle Surgery)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-3368
TAYLER VAN BERKUM MA, CCC-SLP
Speech-Language Pathologist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Radiology (Diagnostic Radiology)
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
MS. LINDA LOU GRAUER CRNA ARNP
Nurse Anesthetist, Certified Registered
300 SIOUX VALLEY DR, CHEROKEE REGIONAL MEDICAL CENTER
CHEROKEE, IA 51012
Cherokee County (712) 225-5101
BROOKE ELIZABETH NIELSEN OTR/L
Occupational Therapist
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1502
SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
Medicare Defined Swing Bed Unit
300 SIOUX VALLEY DR
CHEROKEE, IA 51012
Cherokee County (712) 225-1505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Ducommun's NPI number?

The NPI number for Lisa Ducommun is 1023105616. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Lisa M. Johnson.

Where is Lisa Ducommun located?

Lisa Ducommun practices at 300 Sioux Valley Dr, Cherokee, IA 51012. The listed phone number is (712) 225-6265.

What is Lisa Ducommun's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Lisa Ducommun enrolled in Medicare?

Yes. Lisa Ducommun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Ducommun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ducommun reassigns Medicare benefits to Sioux Valley Memorial Hospital Association (Cherokee, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Ducommun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Ducommun accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Lisa Ducommun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lisa Ducommun affiliated with any hospitals?

According to CMS data, Lisa Ducommun is affiliated with Lakes Regional Healthcare, St Lukes Regional Medical Center, Cherokee Regional Medical Center and Buena Vista Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Ducommun was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.