Individual provider

Lisa Gilmore, DNP, ACCNS, FNP

Pediatric Clinical Nurse Specialist Adult Health Clinical Nurse Specialist Family Nurse Practitioner Medicare enrolled

Lisa Gilmore, DNP, ACCNS, FNP is a Family Nurse Practitioner in Harrison, AR, registered under NPI 1629484647. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 620 N MAIN ST, Harrison, AR 72601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

620 N MAIN ST, Harrison, AR 72601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2014022682 MO Pediatric Clinical Nurse Specialist
2014024621 MO Adult Health Clinical Nurse Specialist
2018035616 MO Family Nurse Practitioner primary

This provider holds licence 2014022682 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Clinical Nurse Specialist (cns)
PAC ID
5092933440

Enrolled in Medicare 3 times, across 2 states:

StateEnrollment IDProvider type
Missouri I20140826001904 Practitioner - Certified Clinical Nurse Specialist (cns)
Arkansas I20191023001003 Practitioner - Nurse Practitioner
Missouri I20260302002080 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Clinical Nurse Specialist (cns). There are 3 separate enrolment records across 2 states (MO, AR). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
364SP0200X Pediatric Clinical Nurse Specialist Pediatrics 2014022682 MO
364SA2200X Adult Health Clinical Nurse Specialist Adult Health 2014024621 MO
363LF0000X Family Nurse Practitioner Family 2018035616 MO primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629484647 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 10, 2014
Last updatedAug 3, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialDNP, ACCNS, FNP
Practice address 620 N MAIN ST
Harrison, AR 72601
(870) 414-4076
Mailing address PO BOX 7411626
Chicago, IL 60674
Other identifiers Pending · Medicaid (MO)
This record was updated on Aug 3, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1629484647 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 4 8 4 6 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 8 8 8 6 8

Sum = 83 · next multiple of 10 = 90 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629484647?
NPI 1629484647 is the National Provider Identifier assigned to Lisa Gilmore, DNP, ACCNS, FNP in Harrison, AR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Lisa Gilmore, DNP, ACCNS, FNP?
The phone number on file with NPPES is (870) 414-4076, last updated Aug 3, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Lisa Gilmore, DNP, ACCNS, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629484647 a valid number?
Yes. 1629484647 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.