LISA L. GILMORE (DNP, ACCNS, FNP) – Family Nurse Practitioner, NPI 1629484647
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
62 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MO
Provider Addresses for LISA L. GILMORE (DNP, ACCNS, FNP)
1965 S FREMONT AVE
SUITE 300
SPRINGFIELD, MO 658042201
Phone: (417) 820-4000
Fax: (417) 820-4948
Type: Location
PO BOX 505164
SAINT LOUIS, MO 631505164
Phone: (417) 829-4620
Type: Mailing
PO BOX 7411626
CHICAGO, IL 606745626
Phone:
Type: Mailing
1965 S Fremont Ave Ste 230
Springfield, MO 658042258
Phone: (417) 820-7250
Type: Location
94 Main St
Cassville, MO 656251610
Phone: (417) 847-6000
Type: Location
100 Hospital Dr
Lebanon, MO 655369210
Phone: (417) 553-6100
Type: Location
525 Branson Landing Blvd
Branson, MO 656162052
Phone: (417) 335-7218
Type: Location
500 Porter Ave
Aurora, MO 656052365
Phone: (417) 678-2122
Type: Location
1000 E Hwy 60
Monett, MO 657088258
Phone: (000) 000-0000
Type: Location
620 N MAIN ST
HARRISON, AR 726012911
Phone: (870) 414-4076
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $2,063.
Total Amount is formed as General ($2,063) + Research ($0) + Ownership ($0) = $2,063.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,510).
Total Amount
$2,063
General + Research + Ownership
Payments
16
Total payment records
General Amount
$2,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,510 |
| Access Pro Medical, LLC | $173 |
| DePuy Synthes Sales Inc. | $144 |
| Smith+Nephew, Inc. | $71 |
| Davol Inc. | $63 |
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: 2026-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140826001904 | I | Certified Clinical Nurse Specialist (Cns) | MO | TBD |
| I20191023001003 | I | Nurse Practitioner | AR | TBD |
| I20260302002080 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 23 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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