Jeanna Rennee Lisman, APN - Medicare Nurse Practitioner in Sullivan, IN

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Jeanna Rennee Lisman, APN is a medicare enrolled "Nurse Practitioner - Family" in Sullivan, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sullivan County Community Hospital and her current practice location is 2229 Mary Sherman Dr, Sullivan, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 268-3318.

Jeanna Rennee Lisman is licensed to practice in Indiana (license number 71007087B) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073042131.

Contact Information

Jeanna Rennee Lisman, APN
2229 Mary Sherman Dr,
Sullivan, IN 47882-7633
(812) 268-3318
Not Available

Map and Direction




Provider's Profile

Full NameJeanna Rennee Lisman
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2229 Mary Sherman Dr, Sullivan, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeanna Rennee Lisman graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1073042131
  • Provider Enumeration Date: 06/12/2017
  • Last Update Date: 04/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921378605
  • Enrollment ID: I20170728001135

Medical Identifiers

Medical identifiers for Jeanna Rennee Lisman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073042131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71007087B (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sullivan County Community HospitalSullivan, INHospital
Greene County General HospitalLinton, INHospital
Union Hospital IncTerre haute, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sullivan County Community Hospital246649748233

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeanna Rennee Lisman allows following entities to bill medicare on her behalf.
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497759260
PECOS PAC ID: 2466497482
Enrollment ID: O20070817000379
Entity NameMso Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154741296
PECOS PAC ID: 0547486136
Enrollment ID: O20140813002412
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1447805965
PECOS PAC ID: 2466497482
Enrollment ID: O20200117000707
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497363303
PECOS PAC ID: 2466497482
Enrollment ID: O20200831000591

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeanna Rennee Lisman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeanna Rennee Lisman, APN
Po Box 230,
Sullivan, IN 47882-0230

Ph: (812) 268-3318		Jeanna Rennee Lisman, APN
2229 Mary Sherman Dr,
Sullivan, IN 47882-7633

Ph: (812) 268-3318

Reviews and Comments


Nurse Practitioner Nurses in Sullivan, IN

Mrs. Terri Lee Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882
Phone: 812-268-3318    
Mrs. Kelly Sue Evans, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2204 North Section Street, Sullivan, IN 47882
Phone: 812-268-2556    
Holly Laue, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-6809
Billie J Thurman, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-2609
Kevin Braun Flinn, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Section St Ste A, Sullivan, IN 47882
Phone: 812-268-6292    
Mrs. Amy Nicole Sparks, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 N Section St, Sullivan, IN 47882
Phone: 812-268-4311    Fax: 812-268-2544

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.