Lisa L Gilmore, DNP, ACCNS, FNP - Medicare Certified Clinical Nurse Specialist (cns) in Harrison, AR

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Lisa L Gilmore, DNP, ACCNS, FNP is a medicare enrolled "Nurse Practitioner - Family" in Harrison, Arkansas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Mercy Clinic Springfield Communities, Mercy Hospital Springfield and her current practice location is 620 N Main St, Harrison, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 414-4076.

Lisa L Gilmore is licensed to practice in Missouri (license number 2018035616) 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 1629484647.

Contact Information

Lisa L Gilmore, DNP, ACCNS, FNP
620 N Main St,
Harrison, AR 72601-2911
(870) 414-4076
Not Available

Map and Direction




Provider's Profile

Full NameLisa L Gilmore
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience10 Years
Location620 N Main St, Harrison, Arkansas
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:
  • Lisa L Gilmore graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1629484647
  • Provider Enumeration Date: 07/10/2014
  • Last Update Date: 02/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092933440
  • Enrollment ID: I20140826001904

Medical Identifiers

Medical identifiers for Lisa L Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629484647NPI-NPPES
PENDINGMedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health 2014024621 (Missouri)Secondary
364SP0200XClinical Nurse Specialist - Pediatrics 2014022682 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2018035616 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital
North Arkansas Regional Medical CenterHarrison, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845933
Mercy Hospital Springfield7416867593104

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 L Gilmore allows following entities to bill medicare on her behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354
Entity NameMercy Hospital Cassville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20040120000164
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040209001035
Entity NameOzarks Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831115641
PECOS PAC ID: 3870491863
Enrollment ID: O20040211000422
Entity NameMercy Hospital Aurora
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20040727000335
Entity NameMercy Hospital Lebanon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447284898
PECOS PAC ID: 7214829019
Enrollment ID: O20040907000806
Entity NameMercy Hospital Springfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242159
PECOS PAC ID: 7416867593
Enrollment ID: O20050118000038
Entity NameMercy Hospital Aurora
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20061104000261
Entity NameMercy Hospital Cassville
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20100118000033
Entity NameSkaggs Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346602646
PECOS PAC ID: 5092624320
Enrollment ID: O20160517000289

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 L Gilmore 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 L Gilmore, DNP, ACCNS, FNP
Po Box 505164,
Saint Louis, MO 63150-5164

Ph: (417) 829-4620		Lisa L Gilmore, DNP, ACCNS, FNP
620 N Main St,
Harrison, AR 72601-2911

Ph: (870) 414-4076

Reviews and Comments


Nurse Practitioner Nurses in Harrison, AR

Rollie S Walker, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1002 N Spring Street, Harrison, AR 72601
Phone: 870-741-6373    Fax: 870-741-5102
Skipper Dawn Mccormick, APRN-FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 624 W Central Ave, Harrison, AR 72601
Phone: 870-754-0144    
Amanda Cope, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 724 N Spring St Ste C, Harrison, AR 72601
Phone: 870-743-2448    Fax: 870-741-2449
Andria Moran Merritt, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 520 N Spring St, Harrison, AR 72601
Phone: 870-741-8286    
Kellie Manes, APRN
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Medicare: Medicare Enrolled
Practice Location: 4318 Us Hwy 62-65, Harrison, AR 72601
Phone: 870-414-4040    Fax: 870-741-7618
Donielle Kay Swanson, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1401 Hwy 65 North, Suite 110, Harrison, AR 72601
Phone: 704-144-0228    Fax: 870-414-4023
Makaya Rhea Baker, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 724 N Spring St # C, Harrison, AR 72601
Phone: 870-365-0850    

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.