MRS. LISA ANN GILMORE (APRN) – Nurse Practitioner, NPI 1205272259

MRS. LISA ANN GILMORE (APRN) is a healthcare provider. based in Augusta, Kansas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials APRN. They hold a License No. 53-75955 (KS). The NPI Number for MRS. LISA ANN GILMORE (APRN) is 1205272259

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA ANN GILMORE (APRN)
NPI
1205272259
Phone
(316) 775-7500
Address
2820 OHIO ST
Enumeration Date
17 May 2013
Last Update Date
28 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3167757500224
Graduation Year
2012 (14 years ago)
PAC ID
8628210473
Group Practice PAC ID
4183698756
Professional Enrollment ID
I20140305001569
Address ID
KS670102361AU2820XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

26 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in KS

Provider Addresses for MRS. LISA ANN GILMORE (APRN)

  • 2820 OHIO ST

    AUGUSTA, KS 670102361

    Phone: (316) 775-7500

    Fax: (316) 775-3685

    Type: Mailing

  • 2820 Ohio St

    Augusta, KS 67010

    Phone: (316) 775-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,272.

Total Amount is formed as General ($1,272) + Research ($0) + Ownership ($0) = $1,272.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($212).

Total Amount

$1,272

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130808000027INurse PractitionerKSTBD
I20140305001569ICertified Clinical Nurse Specialist (Cns)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes705109$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes24768$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes23582$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes15431$0
99213Established patient office or other outpatient visit, 20-29 minutes10760$0
View full utilization report →

Insurance plans in this area (ZIP 67010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183698756View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerIL
Family Practice, Osteopathic Manipulative MedicineKS

Reviews

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Frequently asked questions

What federal number belongs to MRS. LISA ANN GILMORE (APRN)?
The federal identifier for MRS. LISA ANN GILMORE (APRN) is NPI 1205272259.
Is MRS. LISA ANN GILMORE (APRN) active in the national directory?
MRS. LISA ANN GILMORE (APRN)'s public NPI profile is in an active state.
What field does MRS. LISA ANN GILMORE (APRN) work in?
You can think of MRS. LISA ANN GILMORE (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. LISA ANN GILMORE (APRN)'s primary listing?
We display Augusta, Kansas because that is what the record indicates for MRS. LISA ANN GILMORE (APRN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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