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LANISSA RAE STINEHELFER FNP-BC
NPI 1841571957
Nurse Practitioner - Family in Social Circle, GA

Active since September 01, 2011PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
761 N CHEROKEE RD, SOCIAL CIRCLE, GA 30025(770) 464-4434 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lanissa Rae Stinehelfer Fnp-bc NPPES

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

LANISSA RAE STINEHELFER FNP-BC (NPI 1841571957) is an individual family provider in Social Circle, Georgia, licensed in Georgia (RN130632) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1841571957
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLANISSA RAE STINEHELFERCredential: FNP-BC
Location Address761 N CHEROKEE RDSocial Circle, GA 30025-4019
Mailing Address3850 Mount Carmel Church RdMonroe, GA 30655-5343 · (706) 621-3103
Phone(770) 464-4434
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 1, 2011
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1841571957 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 GA · RN130632
761 N CHEROKEE RD, Social Circle, GA 30025
Open in Google Maps ↗

Other Names 1

Former Name (1)Lanissa Rae Summerour

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Lanissa Rae Stinehelfer Fnp-bc 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 ID941423099
PECOS Enrollment IDI20140519001615
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30025 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%29 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

FORREST J DOUD MD
Pediatrics
761 N CHEROKEE RD, STE B
SOCIAL CIRCLE, GA 30025
Walton County (678) 535-3030
FORREST J DOUD, MD, PC
Pediatrics
761 N CHEROKEE RD, SUITE B
SOCIAL CIRCLE, GA 30025
Walton County (678) 374-3746

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 Lanissa Stinehelfer's NPI number?

The NPI number for Lanissa Stinehelfer is 1841571957. It was assigned to this individual provider in the NPPES registry on September 1, 2011. The provider is also known as Lanissa Rae Summerour.

Where is Lanissa Stinehelfer located?

Lanissa Stinehelfer practices at 761 N Cherokee Rd, Social Circle, GA 30025. The listed phone number is (770) 464-4434.

What is Lanissa Stinehelfer's specialty?

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

Is Lanissa Stinehelfer enrolled in Medicare?

Yes. Lanissa Stinehelfer 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 Lanissa Stinehelfer accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Lanissa Stinehelfer 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 Lanissa Stinehelfer was last updated on April 30, 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.