Lisa J Duncan, CNP - Medicare Nurse Practitioner in Sioux Falls, SD

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Lisa J Duncan, CNP is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. Her current practice location is 1001 E. 21st St., Ste. 300, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-5800.

Lisa J Duncan is licensed to practice in South Dakota (license number 0205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285600965.

Contact Information

Lisa J Duncan, CNP
1001 E. 21st St., Ste. 300,
Sioux Falls, SD 57105
(605) 322-5800
(605) 322-5801

Map and Direction




Provider's Profile

Full NameLisa J Duncan
GenderFemale
SpecialityNurse Practitioner
Location1001 E. 21st St., Ste. 300, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285600965
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 02/09/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8022172261
  • Enrollment ID: I20100504000712

Medical Identifiers

Medical identifiers for Lisa J Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285600965NPI-NPPES
290T7DUOtherMNBLUE CROSS
500023424OtherSDRR MEDICARE
6825692MedicaidSD
848660OtherSDARAZ/ AMERICA'S PPO
0108608OtherSDMEDICA
46022474344MedicaidNE
290T7DUOtherMNCC SYSTEMS/ BLUE CROSS
406751028077OtherSDPREFERRED ONE
0040023OtherSDBLUE CROSS
9237763OtherSDDAKOTACARE
1911214MedicaidIA
223858600MedicaidMN
28948OtherSDSANFORD HEALTH PLAN
57105P003OtherSDWPS TRICARE
HP35360OtherSDHEALTHPARTNERS
10682OtherSDMIDLANDS CHOICE
35147 & 35148OtherIABLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0205 (South Dakota)Primary

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. Lisa J Duncan allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532
Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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. Lisa J Duncan 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
Lisa J Duncan, CNP
Po Box 86370,
Sioux Falls, SD 57118-6370

Ph: (605) 322-7510		Lisa J Duncan, CNP
1001 E. 21st St., Ste. 300,
Sioux Falls, SD 57105

Ph: (605) 322-5800

Reviews and Comments


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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.