DR. LISA ELLEN TANNER (AU.D., CCC-A) – Audiologist, NPI 1578739959

DR. LISA ELLEN TANNER (AU.D., CCC-A) is a healthcare provider. based in Brandon, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., CCC-A. They hold a License No. AY-1204 (FL). The NPI Number for DR. LISA ELLEN TANNER (AU.D., CCC-A) is 1578739959

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ELLEN TANNER (AU.D., CCC-A)
NPI
1578739959
Phone
(813) 315-9850
Address
522 OAKFIELD DR
Enumeration Date
5 May 2008
Last Update Date
11 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133158950
Graduation Year
2003 (23 years ago)
PAC ID
8628127719
Professional Enrollment ID
I20090520000320
Address ID
FL335115110BR132XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

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Provider Addresses for DR. LISA ELLEN TANNER (AU.D., CCC-A)

  • 522, Oakfield Drive, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115743

    Phone: (813) 315-9850

    Fax: (813) 315-9837

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-05-20

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
I20090520000320IQualified AudiologistFLTBD

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
92557Comprehensive hearing and speech recognition test6161$0
92567Test to assess middle ear function6161$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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Provider's Procedures

DR. LISA ELLEN TANNER (AU.D., CCC-A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTFL92567Eardrum testing using ear probe1414

Reviews

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Frequently asked questions

What unique ID ties claims to DR. LISA ELLEN TANNER (AU.D., CCC-A)?
NPI 1578739959 is assigned to DR. LISA ELLEN TANNER (AU.D., CCC-A) under the national enumeration system.
Is DR. LISA ELLEN TANNER (AU.D., CCC-A) active in the national directory?
DR. LISA ELLEN TANNER (AU.D., CCC-A)'s public NPI profile is in an active state.
Can you summarize DR. LISA ELLEN TANNER (AU.D., CCC-A)'s specialty in plain language?
Clinically, the directory lists DR. LISA ELLEN TANNER (AU.D., CCC-A) with Audiologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. LISA ELLEN TANNER (AU.D., CCC-A)?
We surface Brandon, Florida for DR. LISA ELLEN TANNER (AU.D., CCC-A) based on available NPPES addresses.
What if Brandon, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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