LISA ANNETTE DEMENT (FNP) – Family Nurse Practitioner, NPI 1619918521

LISA ANNETTE DEMENT (FNP) is a healthcare provider. based in Magee, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R803971 (MS). The NPI Number for LISA ANNETTE DEMENT (FNP) is 1619918521

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANNETTE DEMENT (FNP)
NPI
1619918521
Phone
(601) 849-6440
Address
PO BOX 1100
Enumeration Date
10 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625704507
Graduation Year
2000 (26 years ago)
PAC ID
9931167772
Group Practice PAC ID
6608151683
Professional Enrollment ID
I20041228000278
Address ID
MS397051251CO3189X45XX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for LISA ANNETTE DEMENT (FNP)

  • Magee Post Office, 701, Southwest 3rd Street, Magee, Simpson County, Mississippi, 39111, United States

    MAGEE, MS 391111100

    Phone: (601) 849-6440

    Fax: (601) 849-7557

    Type: Mailing

  • 40128, Hamilton Road, New Hamilton, Monroe County, Mississippi, 39746, United States

    HAMILTON, MS 397469686

    Phone: (662) 369-2455

    Fax: (662) 319-2125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $441.

Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: PFIZER INC. ($61).

Total Amount

$441

General + Research + Ownership

Payments

24

Total payment records

General Amount

$441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-12-28

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
I20041228000278INurse PractitionerMSTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg30652$0
J0696Injection, ceftriaxone sodium, per 250 mg15636$0
96372Injection of drug or substance under skin or into muscle11661$0
99213Established patient office or other outpatient visit, 20-29 minutes9176$0
87804Detection test by immunoassay with direct visual observation for influenza virus6029$0
View full utilization report →

Insurance plans in this area (ZIP 39111)

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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: 6608151683View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

Can I verify LISA ANNETTE DEMENT (FNP) with an NPI only?
You can start verification with NPI 1619918521 for LISA ANNETTE DEMENT (FNP), then check state licensing separately.
Does CMS list LISA ANNETTE DEMENT (FNP) as active?
Yes — LISA ANNETTE DEMENT (FNP) is active in the NPI listing used on this page.
What is LISA ANNETTE DEMENT (FNP)'s specialty?
The listing groups LISA ANNETTE DEMENT (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does LISA ANNETTE DEMENT (FNP) serve?
LISA ANNETTE DEMENT (FNP)'s listing highlights Magee, Mississippi; more addresses can appear in NPPES.
Why does LISA ANNETTE DEMENT (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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