LISA KING (FNP) – Family Nurse Practitioner, NPI 1043288806

LISA KING (FNP) is a healthcare provider. based in Richland, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 076386 (MO). The NPI Number for LISA KING (FNP) is 1043288806

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
LISA KING (FNP)
NPI
1043288806
Phone
(573) 765-5141
Address
304 W WASHINGTON AVE
Enumeration Date
9 March 2006
Last Update Date
3 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774062662
Graduation Year
1982 (44 years ago)
PAC ID
5698871457
Group Practice PAC ID
2062554025
Professional Enrollment ID
I20070511000089
Address ID
MO650658689OS3870XAVEX300
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

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for LISA KING (FNP)

  • 304, West Washington Avenue, Richland, Pulaski County, Missouri, 65556, United States

    RICHLAND, MO 655567101

    Phone: (573) 765-5141

    Fax: (573) 765-3824

    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)

CMS reports 48 Open Payments records for all available years, with a total value of $851.

Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($170).

Total Amount

$851

General + Research + Ownership

Payments

48

Total payment records

General Amount

$851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2007-05-11

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
I20070511000089INurse PractitionerMOTBD

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
83036Hemoglobin a1c level10453$0
81003Automated urinalysis test4230$0
View full utilization report →

Insurance plans in this area (ZIP 65556)

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Provider's Procedures

LISA KING (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO83036Hemoglobin A1C level7954
NURSE PRACTITIONERMO90670Pneumococcal vaccine for injection into muscle2020

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: 2062554025View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Clinical PsychologistMO
Family PracticeOR
Family PracticeMO
O B S T E T R I C S/ G Y N E C O L O G YAP
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Pediatric MedicineMO

Reviews

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Frequently asked questions

How do I look up LISA KING (FNP) by NPI?
Use NPI 1043288806 when you need to reference LISA KING (FNP) in forms, claims, or directories.
Is LISA KING (FNP)'s NPI currently valid?
The extract we use shows LISA KING (FNP) as active.
What does LISA KING (FNP) treat or focus on?
Patients typically see LISA KING (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LISA KING (FNP)?
The snapshot lists Richland, Missouri for LISA KING (FNP); download NPPES for the complete set.
How can I contact LISA KING (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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