Lisa Rene Johnson (NPI# 1265584312, PAC ID# 2466414487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265584312 |
| PAC ID by PECOS | 2466414487 |
| Professional Enrollment ID | I20041102000562 |
| Full Name | Lisa Rene Johnson |
| Organization Legal Name | NORTH LIBERTY FAMILY HEALTH CENTRE, P.C. |
| Address |
420 Community Dr Suite 1 North Liberty IA 52317-6706 |
| Phone Number | 3196266006 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880678416 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160029 | MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 | 3196266006 | NORTH LIBERTY FAMILY HEALTH CENTRE, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | NORTH LIBERTY FAMILY HEALTH CENTRE, P.C. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neha J Jackson | Nurse Practitioner | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Natalie L Hempy | Family Medicine | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Ashley N Evans | Nurse Practitioner | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Amber E Sheeley | Physician Assistant | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Street Address |
420 COMMUNITY DR SUITE 1 |
| City | NORTH LIBERTY |
| State | IA |
| Zip | 52317-6706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neha J Jackson | Nurse Practitioner | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Natalie L Hempy | Family Medicine | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Ashley N Evans | Nurse Practitioner | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Amber E Sheeley | Physician Assistant | North Liberty Family Health Centre, P.C. | 420 Community Dr, Suite 1, North Liberty, IA 52317-6706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney Davis | Physical Therapy | Rock Valley Physical Therapy Center | 555 Cameron Way, Suite 1, North Liberty, IA 52317-4704 |
| Lisa E Yeary | Clinical Social Worker | 575 Cameron Way Unit A, North Liberty, IA 52317-4704 | |
| Mohamed Karim | Chiropractic | 1395 Jordan St, Suite D, North Liberty, IA 52317-4759 | |
| Adam O Moeller | Chiropractic | Moeller Chiropractic Pllc | 725 Pacha Pkwy, Suite 2, North Liberty, IA 52317-4796 |
| Jaime E Bonner | Nurse Practitioner | State University of Iowa | 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 |
| Judith K Anderson Bruner | Nurse Practitioner | State University of Iowa | 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 |
| Nanette J Brokaw | Nurse Practitioner | State University of Iowa | 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 |
| Melinda S Brokaw | Nurse Practitioner | State University of Iowa | 720 Pacha Pkwy, Suite 1, North Liberty, IA 52317-4797 |
| Kayla Victoria Davis | Chiropractic | 710 Pacha Pkwy, Suite 4, North Liberty, IA 52317-4824 | |
| Michael J Humpal | Chiropractic | 1295 Jordan St, Suite 6b, North Liberty, IA 52317-8020 | |
| Find all physicians in zip 52317 | |||
| City | NORTH LIBERTY |
| Zip Code | 52317 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH LIBERTY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lisa Rene Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.