LISA WILSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124502018
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA WILSON (APRN)
2721 Del Prado Blvd S Ste 200
Cape Coral, FL 339045783
Phone: (239) 673-9034
Type: Location
228 Plaza Dr
Lehigh Acres, FL 339366054
Phone: (239) 491-8204
Type: Location
129 N Locust Ave
Lawrenceburg, TN 384643757
Phone: (931) 762-7232
Fax: (931) 762-7234
Type: Location
1350, Lee Boulevard, Lehigh Acres, Fort Myers, Lee County, Florida, 33936, United States
LEHIGH ACRES, FL 339364846
Phone: (239) 369-2163
Type: Mailing
4310 METRO PKWY STE 205
FORT MYERS, FL 339169416
Phone: (239) 223-2751
Fax: (239) 561-2933
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,045.
Total Amount is formed as General ($1,045) + Research ($0) + Ownership ($0) = $1,045.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($347).
Total Amount
$1,045
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,045
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $347 |
| Tempus AI, Inc | $186 |
| Corcept Therapeutics | $54 |
| Lilly USA, LLC | $51 |
| Teva Pharmaceuticals USA, Inc. | $42 |
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: 2023-04-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230412002173 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | NY | |
| Nurse Practitioner | FL |
Reviews
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