MS. LISA J FETTER (APRN-BC) – Family Nurse Practitioner, NPI 1326392895

MS. LISA J FETTER (APRN-BC) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-BC. They hold a License No. 3007846 (KY). The NPI Number for MS. LISA J FETTER (APRN-BC) is 1326392895

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA J FETTER (APRN-BC)
NPI
1326392895
Phone
(502) 638-4906
Address
6413 BARDSTOWN RD
Enumeration Date
5 November 2012
Last Update Date
4 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8125908282
Graduation Year
2012 (14 years ago)
PAC ID
9537460308
Group Practice PAC ID
3678956885
Professional Enrollment ID
I20220825001423
Address ID
IN471306016JE1820XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MS. LISA J FETTER (APRN-BC)

  • 6413 BARDSTOWN RD

    LOUISVILLE, KY 40291

    Phone: (502) 638-4906

    Fax: (502) 231-0220

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $88.

Total Amount is formed as General ($88) + Research ($0) + Ownership ($0) = $88.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Indivior Inc. ($88).

Total Amount

$88

General + Research + Ownership

Payments

5

Total payment records

General Amount

$88

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$88
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: 2022-09-24

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
I20220825001423INurse PractitionerINTBD
I20220924000345INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40291)

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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: 3678956885View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantIN

Reviews

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Frequently asked questions

What identifier follows MS. LISA J FETTER (APRN-BC) across health systems?
The NPI 1326392895 uniquely identifies MS. LISA J FETTER (APRN-BC) in U.S. healthcare data.
Does the public listing show MS. LISA J FETTER (APRN-BC) as active?
MS. LISA J FETTER (APRN-BC)'s NPI record reflects an active status in NPPES.
What type of care does MS. LISA J FETTER (APRN-BC) provide?
MS. LISA J FETTER (APRN-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MS. LISA J FETTER (APRN-BC) in Louisville, Kentucky?
For routing, start with Louisville, Kentucky for MS. LISA J FETTER (APRN-BC), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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