LISA MARCUM FNP
NPI 1306076443
Nurse Practitioner - Family in Somerset, KY
About Lisa Marcum Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MARCUM FNP (NPI 1306076443) is an individual family provider in Somerset, Kentucky, licensed in Oregon (10064805) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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 Marcum Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Lisa Marcum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 78 clinicians in this Medicare group
Somerset, KY 42503
- Reassigned Medicare billing, Kentucky enrollment
- 89 clinicians in this Medicare group
The Dalles, OR 97058
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Cumberland Regional Hospital
Acute Care Hospitals · Somerset, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 42503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Marcum's NPI number?
The NPI number for Lisa Marcum is 1306076443. It was assigned to this individual provider in the NPPES registry on July 23, 2009.
Where is Lisa Marcum located?
Lisa Marcum practices at 143 Bogle Office Park Dr Suite A, Somerset, KY 42503. The listed phone number is (606) 451-3890.
What is Lisa Marcum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Marcum enrolled in Medicare?
Yes. Lisa Marcum 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 Marcum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Marcum reassigns Medicare benefits to 3 organizations: Lake Cumberland Physician Practices, LLC (Somerset, KY), Lake Cumberland Regional Hospital LLC (Somerset, KY) and Providence Health & Services - Oregon (The Dalles, OR). 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 Marcum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Marcum accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Lisa Marcum 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 Marcum affiliated with any hospitals?
According to CMS data, Lisa Marcum is affiliated with Lake Cumberland Regional Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Marcum was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# Lisa Marcum, FNP · NPI 1306076443
Family physician in Somerset, Kentucky. Individual provider, active in the CMS NPPES registry since July 23, 2009.
## Identity
- **NPI:** 1306076443 (Entity type: Individual)
- **Enumerated:** July 23, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10064805 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 143 BOGLE OFFICE PARK DR, SUITE A, Somerset, KY 42503-2810
- **Phone:** (606) 451-3890 · **Fax:** (606) 451-3896
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lake Cumberland Physician Practices, LLC (NPI 1790924785, Somerset, KY); Lake Cumberland Regional Hospital LLC (NPI 1093092744, Somerset, KY); Providence Health & Services - Oregon (NPI 1083963573, The Dalles, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306076443) · Data from the CMS NPPES public registry.