MRS. LISA J BOOKER (APN) – Family Nurse Practitioner, NPI 1053528778

MRS. LISA J BOOKER (APN) is a healthcare provider. based in Lepanto, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. AO1659 (AR). The NPI Number for MRS. LISA J BOOKER (APN) is 1053528778

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA J BOOKER (APN)
NPI
1053528778
Phone
(870) 475-3180
Address
260 WEST BROAD STREET
Enumeration Date
16 May 2007
Last Update Date
18 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705630757
Graduation Year
2000 (26 years ago)
PAC ID
5597677013
Group Practice PAC ID
7012311269
Professional Enrollment ID
I20141111000477
Address ID
AR723703506OS700XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for MRS. LISA J BOOKER (APN)

  • 260, West Broad Street, Lepanto, Poinsett County, Arkansas, 72354, United States

    P.O. BOX 723

    LEPANTO, AR 723540723

    Phone: (870) 475-3180

    Fax: (870) 475-3185

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-03-06 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($26).

Total Amount

$86

General + Research + Ownership

Payments

5

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141111000477INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes220153$0
J1100Injection, dexamethasone sodium phosphate, 1 mg21262$0
96372Injection of drug or substance under skin or into muscle14894$0
J0696Injection, ceftriaxone sodium, per 250 mg13462$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9955$0
View full utilization report →

Insurance plans in this area (ZIP 72354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012311269View full group profile
NameSpecialtyState
Nurse PractitionerAR
U R O L O G YAR
Pulmonary DiseaseAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
N E U R O L O G YCA
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. LISA J BOOKER (APN)?
MRS. LISA J BOOKER (APN) — NPI 1053528778 — is the standard way to identify this listing.
Is MRS. LISA J BOOKER (APN) listed as active for patients and plans?
The listing shows MRS. LISA J BOOKER (APN) as active in the NPI system.
What is MRS. LISA J BOOKER (APN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. LISA J BOOKER (APN) here. Clinical services aligned with this taxonomy classification.
What area does MRS. LISA J BOOKER (APN) serve?
MRS. LISA J BOOKER (APN)'s listing highlights Lepanto, Arkansas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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