LANISSA RAE STINEHELFER FNP-BC
NPI 1841571957
Nurse Practitioner - Family in Social Circle, GA
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignment
Medicare enrollment records show Lanissa Stinehelfer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burr Ridge, IL 60527
- Reassigned Medicare billing, Georgia enrollment
- 29 clinicians in this Medicare group
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 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.
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.
Reported Quality Measures
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.
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.
Which organization bills Medicare for Lanissa Stinehelfer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lanissa Stinehelfer reassigns Medicare benefits to Metro Infectious Disease Consultants, LLC (Burr Ridge, IL). The 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 Lanissa Stinehelfer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lanissa Stinehelfer accept?
Health plans from Oscar Health 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.
# Lanissa Rae Stinehelfer, FNP-BC · NPI 1841571957
Family physician in Social Circle, Georgia. Individual provider, active in the CMS NPPES registry since September 1, 2011.
## Identity
- **NPI:** 1841571957 (Entity type: Individual)
- **Enumerated:** September 1, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN130632 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 761 N CHEROKEE RD, Social Circle, GA 30025-4019
- **Phone:** (770) 464-4434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Metro Infectious Disease Consultants, LLC (NPI 1235125717, Burr Ridge, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1841571957) · Data from the CMS NPPES public registry.