LISA CONNELLY FNP-C
NPI 1710428461
Nurse Practitioner - Family in Emporia, KS

Q: What is Lisa Connelly's NPI number?

The NPI number for Lisa Connelly is 1710428461. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Q: What is Lisa Connelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Connelly was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 14, 2017PECOS Enrolled

420 W 15TH AVE, EMPORIA, KS 66801(620) 251-2400(620) 251-1619 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2018, Mar 17, 2018, Nov 15, 2017 and 1 more (4 updates tracked since 2017).

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About Lisa Connelly Fnp-c NPPES

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

LISA CONNELLY FNP-C (NPI 1710428461) is an individual family provider in Emporia, Kansas, licensed in Kansas (77645) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710428461

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA CONNELLYCredential: FNP-C

Location Address420 W 15TH AVEEmporia, KS 66801-5367

Mailing Address1505 W 4th StCoffeyville, KS 67337-3307 · (620) 251-2400 · Fax (620) 251-1619

Phone(620) 251-2400

Fax(620) 251-1619

Sole ProprietorNo

Enumeration DateMarch 14, 2017

Last NPPES UpdateApril 17, 20184 updates tracked since enumeration

✔ NPI 1710428461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 77645

420 W 15TH AVE, Emporia, KS 66801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Connelly Fnp-c 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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Connelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coffeyville Regional Medical Center Inc

99 mi

Anesthesiology

1400 W 4TH STREET
Coffeyville, KS 67337

Reassigned Medicare billing, Kansas enrollment
30 clinicians in this Medicare group

NPI 1265550891 (620) 251-1200

Altea Medical Oklahoma PLLC

223 mi

Geriatric Medicine

9905 S PENNSYLVANIA AVE STE A
Oklahoma City, OK 73159

Reassigned Medicare billing, Oklahoma enrollment
9 clinicians in this Medicare group

NPI 1750105946 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66801 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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.

LANIS DIEKER LSCSW

Social Worker (Clinical)