LISA JO EDMISTER CNM
NPI 1669722518
Advanced Practice Midwife in Great Falls, MT

Active since September 18, 2012PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1400 29TH ST S, SUITE 101, GREAT FALLS, MT 59405(406) 761-7924 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Aug 26, 2016 (2 updates tracked since 2016).

About Lisa Jo Edmister Cnm NPPES

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

LISA JO EDMISTER CNM (NPI 1669722518) is an individual advanced practice midwife in Great Falls, Montana, licensed in Montana (NUR-RN-LIC-21386) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669722518
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLISA JO EDMISTERCredential: CNM
Location Address1400 29TH ST S, SUITE 101Great Falls, MT 59405-5316
Mailing Address1400 29th St S, Suite 101Great Falls, MT 59405-5316 · (406) 761-7924
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 18, 2012
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1669722518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in MT · NUR-RN-LIC-21386
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1400 29TH ST S, Great Falls, MT 59405

Accepted Insurance

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 Jo Edmister Cnm 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 ID3173775087
PECOS Enrollment IDI20121128000351
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.

Areas of Expertise CMS Part B claims

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 20

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

Social Worker
1400 29TH ST S
GREAT FALLS, MT 59405
Family Medicine
1400 29TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Pediatrics)
1400 29TH ST S
GREAT FALLS, MT 59405
Pediatrics
1400 29TH ST S
GREAT FALLS, MT 59405
Obstetrics & Gynecology
1400 29TH ST S
GREAT FALLS, MT 59405
Family Medicine
1400 29TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Rheumatology)
1400 29TH ST S
GREAT FALLS, MT 59405
Urology
1400 29TH ST S
GREAT FALLS, MT 59405

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 Edmister's NPI number?

The NPI number for Lisa Edmister is 1669722518. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Lisa Edmister located?

Lisa Edmister practices at 1400 29th St S Suite 101, Great Falls, MT 59405. The listed phone number is (406) 761-7924.

What is Lisa Edmister's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lisa Edmister enrolled in Medicare?

Yes. Lisa Edmister 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.

What insurance does Lisa Edmister accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Lisa Edmister 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 Edmister affiliated with any hospitals?

According to CMS data, Lisa Edmister is affiliated with Benefis Hospitals Inc and Great Falls Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Edmister was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.