LISA DASHER ANDERSON (FNP-BC) – Family Nurse Practitioner, NPI 1790145258

LISA DASHER ANDERSON (FNP-BC) is a healthcare provider. based in Savannah, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. RN220834 (GA). The NPI Number for LISA DASHER ANDERSON (FNP-BC) is 1790145258

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LISA DASHER ANDERSON (FNP-BC)
NPI
1790145258
Phone
(912) 644-5300
Address
460 MALL BVLD
Enumeration Date
26 February 2016
Last Update Date
7 March 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9125578990
Graduation Year
2015 (11 years ago)
PAC ID
9638476179
Group Practice PAC ID
6204907124
Professional Enrollment ID
I20160328001518
Address ID
GA304534605RE257XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for LISA DASHER ANDERSON (FNP-BC)

  • 460 MALL BVLD

    STE.B

    SAVANNAH, GA 31406

    Phone: (912) 644-5300

    Fax: (912) 644-5260

    Type: Mailing

  • 1000B NORTH VETERANS BOULEVARD

    GLENNVILLE, GA 30427

    Phone: (912) 654-4599

    Fax: (912) 654-4610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Medline Industries LP ($128).

Total Amount

$275

General + Research + Ownership

Payments

12

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2016-03-28

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
I20160328001518INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31406)

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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: 6204907124View full group profile
NameSpecialtyState
N E U R O S U R G E R YGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
Nurse PractitionerGA
-GA
Hand Surgery, Orthopedic SurgeryGA

Reviews

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Frequently asked questions

What number should I use to identify LISA DASHER ANDERSON (FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1790145258 for LISA DASHER ANDERSON (FNP-BC).
Is LISA DASHER ANDERSON (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists LISA DASHER ANDERSON (FNP-BC) as active.
What type of care does LISA DASHER ANDERSON (FNP-BC) provide?
LISA DASHER ANDERSON (FNP-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA DASHER ANDERSON (FNP-BC) tied to Savannah, Georgia?
If you are local to Savannah, Georgia, LISA DASHER ANDERSON (FNP-BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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