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

Lisa R Burgard, FNP

Individual provider Family Nurse Practitioner · NPI 1790723120

Lisa R Burgard, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2002, 24 years ago. Practices with Premier Dermatology LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2006
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

621 S New Ballas Rd 498A
Saint Louis, MO 63141-8232
Phone: (314) 251-3376
Fax: (314) 251-5781
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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 129049 (MO)

Record details

NPI number1790723120
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESNovember 29, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Premier Dermatology Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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