LISSA WOODRUFF (M.D.) – Internal Medicine Physician, NPI 1154304301

LISSA WOODRUFF (M.D.) is a healthcare provider. based in Kearney, Nebraska. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 19918 (NE). The NPI Number for LISSA WOODRUFF (M.D.) is 1154304301

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
LISSA WOODRUFF (M.D.)
NPI
1154304301
Phone
(308) 865-2808
Address
3219 CENTRAL AVE
Enumeration Date
22 November 2005
Last Update Date
1 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3088657100
Graduation Year
1993 (33 years ago)
PAC ID
4183689581
Group Practice PAC ID
4789098443
Professional Enrollment ID
I20041124000759
Address ID
NE688472908KE10XXXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

304 HOSPITALIST in NE

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Provider Addresses for LISSA WOODRUFF (M.D.)

  • 3219, Central Avenue, Kearney, Buffalo County, Nebraska, 68847, United States

    KEARNEY, NE 688472949

    Phone: (308) 865-2808

    Type: Mailing

  • 10 E 31ST ST

    KEARNEY, NE 688472908

    Phone: (308) 865-2808

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041124000759IHospitalistNETBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,114342$0
99239Hospital discharge day management, more than 30 minutes271250$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes211108$0
99291Critical care, first 30-74 minutes6135$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 68847)

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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: 4789098443View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Physician AssistantNE
Interventional Cardiology, Cardiovascular Disease (Cardiology)NE
Physical Medicine And RehabilitationNE
N E U R O S U R G E R YNY
Nurse PractitionerNE
Hospitalist, Family PracticeNE
Hospitalist, Family PracticeNE
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NE

Reviews

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Frequently asked questions

Can I cross-check LISSA WOODRUFF (M.D.) using NPI 1154304301?
NPI 1154304301 belongs to LISSA WOODRUFF (M.D.); compare other details if you need extra assurance.
Would LISSA WOODRUFF (M.D.) appear as active to a payer?
You can treat LISSA WOODRUFF (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LISSA WOODRUFF (M.D.)?
LISSA WOODRUFF (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISSA WOODRUFF (M.D.)?
Travel planning: use Kearney, Nebraska as the reference point for LISSA WOODRUFF (M.D.), then confirm.
When was this NPI issued?
Enumeration for LISSA WOODRUFF (M.D.) is noted as November 22, 2005 where the registry provides it.

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