MRS. LISA ANNE DICKINSON (FNP) – Family Nurse Practitioner, NPI 1053498451

MRS. LISA ANNE DICKINSON (FNP) is a healthcare provider. based in Union, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN117227 (MO). The NPI Number for MRS. LISA ANNE DICKINSON (FNP) is 1053498451

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA ANNE DICKINSON (FNP)
NPI
1053498451
Phone
(636) 239-1101
Address
1647 OAK PARC
Enumeration Date
1 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362391101
Graduation Year
1999 (27 years ago)
PAC ID
3375867559
Group Practice PAC ID
7214827922
Professional Enrollment ID
I20150116000471
Address ID
MO630903130WA851XXSTXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MRS. LISA ANNE DICKINSON (FNP)

  • 1647 OAK PARC

    UNION, MO 630843608

    Phone: (636) 239-1101

    Type: Mailing

  • Mercy Medical Building, 851, East 5th Street, Downtown Washington, Washington, Franklin County, Missouri, 63090, United States

    WASHINGTON, MO 630903135

    Phone: (636) 239-1101

    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 $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Dexcom, Inc. ($82).

Total Amount

$213

General + Research + Ownership

Payments

12

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

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: 2015-01-16

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
I20150116000471INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes3518$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2222$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1212$0
View full utilization report →

Insurance plans in this area (ZIP 63084)

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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: 7214827922View full group profile

Reviews

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Frequently asked questions

Does MRS. LISA ANNE DICKINSON (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. LISA ANNE DICKINSON (FNP) uses 1053498451.
Can I rely on MRS. LISA ANNE DICKINSON (FNP) being an active provider?
As of the registry snapshot, MRS. LISA ANNE DICKINSON (FNP) is marked active.
What taxonomy line describes MRS. LISA ANNE DICKINSON (FNP)?
For research purposes, treat MRS. LISA ANNE DICKINSON (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MRS. LISA ANNE DICKINSON (FNP) list a practice location?
Patients near Union, Missouri may find MRS. LISA ANNE DICKINSON (FNP) in results; validate coverage separately.
Is the information about MRS. LISA ANNE DICKINSON (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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