Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA MARCUM FNP
NPI 1306076443
Nurse Practitioner - Family in Somerset, KY

Active since July 23, 2009PECOS Enrolled
143 BOGLE OFFICE PARK DR, SUITE A, SOMERSET, KY 42503(606) 451-3890(606) 451-3896 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1306076443
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARCUMCredential: FNP
Location Address143 BOGLE OFFICE PARK DR, SUITE ASomerset, KY 42503-2810
Mailing Address143 Bogle Office Park Dr Ste ASomerset, KY 42503-2810 · (606) 451-3890 · Fax (606) 451-3896
Fax(606) 451-3896
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 23, 2009
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
NPI 1306076443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 10064805
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6110P (KY)
143 BOGLE OFFICE PARK DR, Somerset, KY 42503

Secondary Practice Location 1

Location 19135 SW Barnes Rd Ste 561Portland, OR 97225-6643 · Phone (503) 216-6560

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9931254174
PECOS Enrollment IDI20090911000257, I20251216003501
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.

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, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician 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.

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.

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.

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 12 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.