1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Nurse Practitioner
  6. NPI Profile

LISA J DUNCAN CNP
NPI 1285600965
Nurse Practitioner in Sioux Falls, SD

Active since February 23, 2006PECOS Enrolled
1001 E. 21ST ST., STE. 300, SIOUX FALLS, SD 57105(605) 322-5800(605) 322-5801 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa J Duncan Cnp NPPES

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

LISA J DUNCAN CNP (NPI 1285600965) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (0205) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285600965
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA J DUNCANCredential: CNP
Location Address1001 E. 21ST ST., STE. 300Sioux Falls, SD 57105
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-5800
Fax(605) 322-5801
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 9, 2009
✔ NPI 1285600965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · 0205
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.
1001 E. 21ST ST., STE. 300, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Identifiers 21

OtherHP35360SD · Healthpartners
Medicaid46022474344NE
Medicare PINI6562001IA
Other848660SD · Araz/ America's Ppo
Other28948SD · Sanford Health Plan
Other0040023SD · Blue Cross
Other57105P003SD · Wps Tricare
Other406751028077SD · Preferred One
Medicaid223858600MN
Medicare PINS40023SD
Medicaid1911214IA
Medicare PINI7118IA
Medicare PIN500002057MN
Other10682SD · Midlands Choice
Other35147 & 35148IA · Blue Cross
Other9237763SD · Dakotacare
Other290T7DUMN · Cc Systems/ Blue Cross
Other290T7DUMN · Blue Cross
Medicaid6825692SD
Other0108608SD · Medica
Other500023424SD · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa J Duncan Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

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 Duncan's NPI number?

The NPI number for Lisa Duncan is 1285600965. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Lisa Duncan located?

Lisa Duncan practices at 1001 E. 21st St., Ste. 300, Sioux Falls, SD 57105. The listed phone number is (605) 322-5800.

What is Lisa Duncan's specialty?

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

Is Lisa Duncan enrolled in Medicare?

Yes. Lisa Duncan is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Duncan accept?

Health plans from Medica and Sanford Health Plan list Lisa Duncan 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 Duncan was last updated on February 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.