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LISA B CONNERY MD PLLC
NPI 1275604811
Family Medicine in Norman, OK

Active since November 13, 2006
1125 N PORTER AVE, SUITE 205, NORMAN, OK 73071(405) 701-4079(405) 701-2838 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa B Connery Md Pllc NPPES

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

LISA B CONNERY MD PLLC (NPI 1275604811) is a healthcare organization registered as a family medicine in Norman, Oklahoma and active in the NPI registry since November 2006. The organization lists Dava Bradley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275604811
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLISA B CONNERY MD PLLC
Location Address1125 N PORTER AVE, SUITE 205Norman, OK 73071-6446
Mailing Address1125 N Porter Ave, Suite 205Norman, OK 73071-6446 · (405) 701-4079 · Fax (405) 701-2838
Phone(405) 701-4079
Fax(405) 701-2838
Organization SubpartNo
Authorized OfficialDava BradleyOffice Manager · (405) 701-4079
Enumeration DateNovember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275604811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · MD16929
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1125 N PORTER AVE, Norman, OK 73071
Open in Google Maps ↗

Other Identifiers 2

Other444742697002OK · Bcbs
Other4206638OK · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa B Connery Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lisa B Connery MD PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mishell Kerr, APRN-CNP
Nurse Practitioner
NPI 1023460318
317 E HIMES ST
Norman, OK 73069
(405) 632-6688
✔ PECOS✔ Accepts Medicare0.1 mi
Lisa Connery, M.D.
Family Practice
NPI 1205828977
1016 24TH AVE NW STE 110
Norman, OK 73069
(405) 701-4079
✔ PECOS✔ Accepts Medicare2.4 mi

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

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 B Connery MD PLLC's NPI number?

The NPI number for Lisa B Connery MD PLLC is 1275604811. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Lisa B Connery MD PLLC located?

Lisa B Connery MD PLLC is located at 1125 N Porter Ave Suite 205, Norman, OK 73071. The listed phone number is (405) 701-4079.

What is Lisa B Connery MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa B Connery MD PLLC enrolled in Medicare?

Yes. Lisa B Connery MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lisa B Connery MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lisa B Connery MD PLLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lisa B Connery MD PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Lisa B Connery MD PLLC 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.

When was this NPI record last updated?

The NPPES record for Lisa B Connery MD PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.