MRS. LISA M PARK FNP
NPI 1881950533
Nurse Practitioner - Family in Leawood, KS

Q: What is Lisa Park's NPI number?

The NPI number for Lisa Park is 1881950533. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Lisa Park'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 Park was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 06, 2012PECOS EnrolledAccepts Medicare Assignment

11729 ROE AVE, LEAWOOD, KS 66211(913) 345-8404 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Lisa M Park Fnp NPPES

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

MRS. LISA M PARK FNP (NPI 1881950533) is an individual family provider in Leawood, Kansas, licensed in Kansas (53-75279-101) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881950533

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA M PARKCredential: FNP

Location Address11729 ROE AVELeawood, KS 66211-2605

Mailing Address19003 W 163rd CtOlathe, KS 66062-3564 · (913) 645-2255

Phone(913) 345-8404

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateApril 6, 2012

✔ NPI 1881950533 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 · 53-75279-101

11729 ROE AVE, Leawood, KS 66211

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa M Park Fnp 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 ID6709040595

PECOS Enrollment IDI20120606000678

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services48 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.

22 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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.

RACHEL L BREWER FNP-C

Nurse Practitioner (Family)