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LISA KAY BIGELOW N.P.
NPI 1356561112
Nurse Practitioner in South Haven, MI

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
69.6/100
CMS Quality Rating
950 S BAILEY AVE, SOUTH HAVEN, MI 49090(269) 639-2916 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Kay Bigelow N.p. NPPES

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

LISA KAY BIGELOW N.P. (NPI 1356561112) is an individual nurse practitioner in South Haven, Michigan, licensed in Michigan (158435) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1356561112
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA KAY BIGELOWCredential: N.P.
Location Address950 S BAILEY AVESouth Haven, MI 49090-8744
Mailing Address950 S Bailey AveSouth Haven, MI 49090-8744 · (269) 639-2916
Phone(269) 639-2916
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 26, 2007
Last NPPES UpdateNovember 22, 2016
✔ NPI 1356561112 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 MI · 158435
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.
950 S BAILEY AVE, South Haven, MI 49090
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS92857

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

Lisa Kay Bigelow N.p. 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 ID1254438872
PECOS Enrollment IDI20070516000273
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 Reassignments

4

Medicare enrollment records show Lisa Bigelow reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronson South Haven Hospital
Same address
Family Medicine
950 S BAILEY AVE
South Haven, MI 49090
  • Reassigned Medicare billing, Michigan enrollment
  • 190 clinicians in this Medicare group
NPI 1174749170 (269) 637-5271
Salubrious Health PLLC
30 mi
Family Medicine
91 DOUGLAS AVE STE 110
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1609562800 (616) 298-8124
Beacon Kalamazoo Inc
31 mi
Hospitalist
411 NAOMI ST
Plainwell, MI 49080
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Ascension Borgess Hospital
  • 247 clinicians in this Medicare group
NPI 1821045212 (269) 685-6811
Cep America LLC
45 mi
Emergency Medicine
701 S HEALTH PKWY
Three Rivers, MI 49093
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1881498202 (269) 278-1145

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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49090 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

69.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.86
Improvement Activities40
Cost19.09

Other Providers at the Same Location NPPES 6

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

WASEEM SHERIFF HUMAYOON SHERIFF
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
SARAH ELIZABETH WAYNER-BRISTOL
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 767-4836
MRS. ALISA A SOMERS DPT
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
BRONSON SOUTH HAVEN HOSPITAL
Family Medicine
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 637-5271
COURTNEY DWYER
Physical Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929
JOSEPH DEYOUNG
Occupational Therapist
950 S BAILEY AVE
SOUTH HAVEN, MI 49090
Van Buren County (269) 639-2929

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 Bigelow's NPI number?

The NPI number for Lisa Bigelow is 1356561112. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Lisa Bigelow located?

Lisa Bigelow practices at 950 S Bailey Ave, South Haven, MI 49090. The listed phone number is (269) 639-2916.

What is Lisa Bigelow's specialty?

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

Is Lisa Bigelow enrolled in Medicare?

Yes. Lisa Bigelow 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 Bigelow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bigelow reassigns Medicare benefits to 4 organizations: Bronson South Haven Hospital (South Haven, MI), Salubrious Health PLLC (Holland, MI), Beacon Kalamazoo Inc (Plainwell, MI) and Cep America LLC (Three Rivers, MI). 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 Bigelow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Bigelow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Oscar Insurance Company list Lisa Bigelow 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 Bigelow was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.