Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Lisa Beverly Modesto, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1225942212

MS. Lisa Beverly Modesto, MSN, FNP-C is a Family Nurse Practitioner in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

8821 Mallard Green Dr
Indianapolis, IN 46234-9535
Phone: (317) 414-9721
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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 F09261202 (IN)

Record details

NPI number1225942212
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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