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

Lisa A Cunningham, FNP

Individual provider Family Nurse Practitioner · NPI 1790037950

Lisa A Cunningham, FNP is a Nurse Practitioner in Rolla, Missouri. Qualified in 2012, 14 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1605 Martin Springs Dr Ste 250
Rolla, MO 65401-2931
Phone: (573) 458-6363
Fax: (573) 458-6765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2012035124 (MO)

Record details

NPI number1790037950
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 11, 2012
Last updated in NPPESAugust 22, 2019
Mailing addressPo Box 2580, Springfield, MO 65801-2580

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Rolla