KENNETH PAOLO DAGDAG LISING (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1003465105
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for KENNETH PAOLO DAGDAG LISING (MSN, APRN, FNP-C)
10283 JASMINE CT
STANTON, CA 906808505
Phone: (714) 262-1660
Type: Location
2141 N HARBOR BLVD STE 25000
FULLERTON, CA 928353830
Phone: (714) 626-8650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $621.
Total Amount is formed as General ($621) + Research ($0) + Ownership ($0) = $621.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($165).
Total Amount
$621
General + Research + Ownership
Payments
30
Total payment records
General Amount
$621
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $165 |
| Lilly USA, LLC | $156 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $59 |
| Astellas Pharma US Inc | $57 |
| Novo Nordisk Inc | $38 |
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: 2021-12-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211208002719 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 52 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 31 | 25 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 21 | 21 | $0 |
| 81002 | Urinalysis, manual test | 19 | 17 | $0 |
Insurance plans in this area (ZIP 90680)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| - | CA | |
| - | WA | |
| - | ME | |
| - | CA | |
| - | CA | |
| Physician Assistant | CA | |
| - | CA | |
| Nurse Practitioner | CA |
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