JEANNA RENNEE LISMAN APN
NPI 1073042131
Nurse Practitioner - Family in Sullivan, IN

Q: What is Jeanna Lisman's NPI number?

The NPI number for Jeanna Lisman is 1073042131. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Jeanna Lisman'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 Jeanna Lisman was last updated on April 27, 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.

Active since June 12, 2017PECOS EnrolledAccepts Medicare Assignment

2229 MARY SHERMAN DR, SULLIVAN, IN 47882(812) 268-3318 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Jun 12, 2017 (2 updates tracked since 2017).

On this page

About Jeanna Rennee Lisman Apn NPPES

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

JEANNA RENNEE LISMAN APN (NPI 1073042131) is an individual family provider in Sullivan, Indiana, licensed in Indiana (71007087B) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073042131

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEANNA RENNEE LISMANCredential: APN

Location Address2229 MARY SHERMAN DRSullivan, IN 47882-7633

Mailing AddressPo Box 230Sullivan, IN 47882-0230 · (812) 268-3318

Phone(812) 268-3318

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 12, 2017

Last NPPES UpdateApril 27, 20212 updates tracked since enumeration

NPPES CertifiedApril 27, 2021

✔ NPI 1073042131 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 IN · 71007087B

2229 MARY SHERMAN DR, Sullivan, IN 47882

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Jeanna Rennee Lisman Apn 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 ID8921378605

PECOS Enrollment IDI20170728001135

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 Jeanna Lisman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sullivan County Community Hospital

Same address

Rural Health

2229 MARY SHERMAN DR
Sullivan, IN 47882

Reassigned Medicare billing, Indiana enrollment
Also billed through NPI 1497363303 (Indiana), NPI 1497759260 (Indiana)
18 clinicians in this Medicare group

NPI 1447805965 (812) 268-3318

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 8

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

322 services322 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

315 services315 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

38 services38 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

36 services36 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

23 services23 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN

OwnershipGovernment - Local

CMS Certification Number151327

Location2200 N Section StSullivan, IN 47882 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47882 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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

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.

100%61 patients5/55-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.

86%102 patients2/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

52%105 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

65%105 patients3/55-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 CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

56%105 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

13%105 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.

Other Providers at the Same Location NPPES 12

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

MRS. TERRI LEE BROWN NP

Nurse Practitioner (Family)