MRS. LISA WATERS ANDERSON (SLP) – Speech-Language Pathologist, NPI 1285928309

MRS. LISA WATERS ANDERSON (SLP) is a healthcare provider. based in Des moines, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 01512 (IA). The NPI Number for MRS. LISA WATERS ANDERSON (SLP) is 1285928309

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA WATERS ANDERSON (SLP)
NPI
1285928309
Phone
(515) 255-9298
Address
1525 BEAVER AVE
Enumeration Date
6 June 2011
Last Update Date
6 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5154189960
Graduation Year
1999 (27 years ago)
PAC ID
6800289844
Group Practice PAC ID
2264582493
Professional Enrollment ID
I20220215001371
Address ID
IA503258288CL12499AVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for MRS. LISA WATERS ANDERSON (SLP)

  • 1525 BEAVER AVE

    DES MOINES, IA 503104426

    Phone: (515) 255-9298

    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: 2022-02-15

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
I20220215001371IQualified Speech Language PathologistIATBD

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
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder1611$0
View full utilization report →

Insurance plans in this area (ZIP 50310)

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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: 2264582493View full group profile
NameSpecialtyState
Qualified AudiologistIA
Qualified AudiologistIA
Qualified AudiologistIA
-IA
-IA
Qualified AudiologistIA
Qualified AudiologistIA
Qualified AudiologistKS
O T O L A R Y N G O L O G YMI
O T O L A R Y N G O L O G YIA

Reviews

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Frequently asked questions

Can I cross-check MRS. LISA WATERS ANDERSON (SLP) using NPI 1285928309?
NPI 1285928309 belongs to MRS. LISA WATERS ANDERSON (SLP); compare other details if you need extra assurance.
Would MRS. LISA WATERS ANDERSON (SLP) appear as active to a payer?
You can treat MRS. LISA WATERS ANDERSON (SLP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. LISA WATERS ANDERSON (SLP)?
MRS. LISA WATERS ANDERSON (SLP)'s record emphasizes Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. LISA WATERS ANDERSON (SLP)?
Directory geography for MRS. LISA WATERS ANDERSON (SLP) centers on Des Moines, Iowa.
When was this NPI issued?
Enumeration for MRS. LISA WATERS ANDERSON (SLP) is noted as June 6, 2011 where the registry provides it.

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