Lisa R Stanley, NP - Medicare Nurse Practitioner in Fort Wayne, IN

Lisa R Stanley, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Radiology Pc and her current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 432-1568.

Lisa R Stanley is licensed to practice in Indiana (license number 71001366) 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 1033155726.

Contact Information

Lisa R Stanley, NP
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701
(260) 432-1568
(260) 432-4969

Map and Direction




Provider's Profile

Full NameLisa R Stanley
GenderFemale
SpecialityNurse Practitioner
Experience23 Years
Location5001 Us Highway 30 W Ste D, Fort Wayne, 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:
  • Lisa R Stanley graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1033155726
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 03/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335293158
  • Enrollment ID: I20090813000350

Medical Identifiers

Medical identifiers for Lisa R Stanley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033155726NPI-NPPES
200387770MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71001366 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital
Marion General HospitalMarion, INHospital
Kosciusko Community HospitalWarsaw, INHospital
Dupont Hospital LlcFort wayne, INHospital
Bluffton Regional Medical CenterBluffton, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Pc014329541078

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 R Stanley allows following entities to bill medicare on her behalf.
Entity NameSummit Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073584587
PECOS PAC ID: 0143295410
Enrollment ID: O20040831000152

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 R Stanley 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 R Stanley, NP
7221 Engle Rd, Ste 220,
Fort Wayne, IN 46804-2233

Ph: (260) 432-1568
Lisa R Stanley, NP
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701

Ph: (260) 432-1568

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.