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LISA MARIE WOOTEN APRN
NPI 1033469366
Nurse Practitioner in Louisville, KY

Active since September 13, 2012PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
4402 CHURCHMAN AVE STE 201, LOUISVILLE, KY 40215(502) 416-0207 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2021, Apr 26, 2018, Sep 19, 2016 (3 updates tracked since 2016).

About Lisa Marie Wooten Aprn NPPES

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

LISA MARIE WOOTEN APRN (NPI 1033469366) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3007613) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033469366
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA MARIE WOOTENCredential: APRN
Location Address4402 CHURCHMAN AVE STE 201Louisville, KY 40215-3100
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 416-0207
Phone(502) 416-0207
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateSeptember 13, 2012
Last NPPES UpdateMay 18, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1033469366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3007613
Definition
(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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 3007613 (KY)
4402 CHURCHMAN AVE STE 201, Louisville, KY 40215
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Secondary Practice Locations 2

Location 11900 Bluegrass Ave, Suite 103Louisville, KY 40215-1144 · Phone (502) 367-4500 · Fax (502) 368-8139
Location 22401 Terra Crossing Blvd Ste 410Louisville, KY 40245-5371 · Phone (502) 888-1988

Other Identifiers 1

Medicaid7100218830KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Marie Wooten Aprn 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 ID547411761
PECOS Enrollment IDI20121117000102
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 Reassignments

3

Medicare enrollment records show Lisa Wooten reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.
2.1 mi
Interventional Pain Medicine
5129 DIXIE HWY
Louisville, KY 40216
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1265127567 (502) 588-6000
Baptist Medical Associates Inc
9.3 mi
Neurology
3900 KRESGE WAY, SUITE 56
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Baptist Health Medical Group Inc
  • 1,441 clinicians in this Medicare group
NPI 1386872471 (502) 895-7265
Signify Health, LLC
719 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky enrollment
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
125 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Breckinridge Memorial Hospital

Critical Access Hospitals · Hardinsburg, KY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number181319
Location1011 Old Highway 60Hardinsburg, KY 40143 · Breckinridge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Referred Medical Equipment & Supplies CMS DME claims

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

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims8,417 services$0.31 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 2

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

SANJAY K. JAIN M.D.
Internal Medicine (Gastroenterology)
4402 CHURCHMAN AVE STE 201
LOUISVILLE, KY 40215
Jefferson County (502) 416-0207
EMILY ISABELLA O'BRIEN APRN
Nurse Practitioner (Gerontology)
4402 CHURCHMAN AVE STE 201
LOUISVILLE, KY 40215
Jefferson County (502) 955-1355

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 Wooten's NPI number?

The NPI number for Lisa Wooten is 1033469366. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Lisa Wooten located?

Lisa Wooten practices at 4402 Churchman Ave Ste 201, Louisville, KY 40215. The listed phone number is (502) 416-0207.

What is Lisa Wooten's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Wooten enrolled in Medicare?

Yes. Lisa Wooten 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 organizations bill Medicare for Lisa Wooten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wooten reassigns Medicare benefits to 3 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY), Baptist Medical Associates Inc (Louisville, KY) and Signify Health, LLC (Dallas, TX). Each 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 Wooten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Wooten accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisa Wooten 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 Wooten affiliated with any hospitals?

According to CMS data, Lisa Wooten is affiliated with Baptist Health Hardin, Baptist Health Louisville, Baptist Health Lagrange and Breckinridge Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Wooten was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.