Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jinna Lisenbe, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1245658335

Jinna Lisenbe, ANP is a Nurse Practitioner in Rolla, Missouri. Qualified in 2013, 13 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2014

Practice location Address checks out

1060 W 10th St
Rolla, MO 65401-2905
Phone: (855) 406-3324
Fax: (573) 458-8363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 364-9000
  • 1000 W 10th St, Rolla, MO 65401-2905 — (573) 458-8899

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2014004531 (MO)

Record details

NPI number1245658335
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rolla