Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Jo Mahoney, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1861875635

Lisa Jo Mahoney, AGACNP-BC is a Nurse Practitioner in Cedar Rapids, Iowa. Qualified in 2015, 11 years ago. Practices with St Lukes Methodist Hospital, a 80-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
11
Licensed in
IA
In the registry since
2015
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Practice location Address checks out

202 10th St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone: (319) 531-6337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence H108907 (IA)

Record details

NPI number1861875635
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESJune 29, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Methodist Hospital — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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