Mrs Lisa M Park, FNP - Medicare Nurse Practitioner in Leawood, KS

Mrs Lisa M Park, FNP is a medicare enrolled "Nurse Practitioner - Family" in Leawood, Kansas. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Kansas Pa and her current practice location is 11729 Roe Ave, Leawood, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 345-8404.

Mrs Lisa M Park is licensed to practice in Kansas (license number 53-75279-101) 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 1881950533.

Contact Information

Mrs Lisa M Park, FNP
11729 Roe Ave,
Leawood, KS 66211-2605
(913) 345-8404
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa M Park
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location11729 Roe Ave, Leawood, Kansas
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:
  • Mrs Lisa M Park graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1881950533
  • Provider Enumeration Date: 04/06/2012
  • Last Update Date: 04/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6709040595
  • Enrollment ID: I20120606000678

Medical Identifiers

Medical identifiers for Mrs Lisa M Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881950533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 53-75279-101 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Kansas Pa741604380791

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. Mrs Lisa M Park allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Kansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629005558
PECOS PAC ID: 7416043807
Enrollment ID: O20080528000011

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. Mrs Lisa M Park 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
Mrs Lisa M Park, FNP
19003 W 163rd Ct,
Olathe, KS 66062-3564

Ph: (913) 645-2255
Mrs Lisa M Park, FNP
11729 Roe Ave,
Leawood, KS 66211-2605

Ph: (913) 345-8404

Reviews and Comments


Nurse Practitioner Nurses in Leawood, KS

James O'hara, FNP-C
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Rachel L Brewer, FNP-C
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Phone: 913-345-8404    
Deborah Ann Meyer, APRN
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Practice Location: 11111 Nall Ave Ste 103, Leawood, KS 66211
Phone: 913-424-3019    Fax: 913-490-1080
Ashley Maye Rehmsmeyer, ARNP, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 11729 Roe Ave, Leawood, KS 66211
Phone: 866-389-2727    

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.