DR. LISA REQUENA (D.O.) – Family Medicine Physician, NPI 1164761946

DR. LISA REQUENA (D.O.) is a healthcare provider. based in Springfield, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 2018014210 (MO). The NPI Number for DR. LISA REQUENA (D.O.) is 1164761946

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA REQUENA (D.O.)
NPI
1164761946
Phone
(417) 269-7241
Address
PO BOX 4046
Enumeration Date
13 February 2013
Last Update Date
13 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173488646
Graduation Year
2012 (14 years ago)
PAC ID
9032435441
Group Practice PAC ID
5092624320
Professional Enrollment ID
I20180717002073
Address ID
MO656162152BR525XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. LISA REQUENA (D.O.)

  • PO BOX 4046

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-7241

    Fax: (417) 269-7567

    Type: Mailing

  • 525 BRANSON LANDING BLVD

    BRANSON, MO 656162052

    Phone: (417) 348-8646

    Fax: (417) 335-7529

    Type: Location

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: 2018-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150302002233IFamily PracticeFLTBD
I20180717002073IFamily PracticeMOTBD

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 minutes184175$0
99214Established patient office or other outpatient visit, 30-39 minutes5353$0
99212Established patient office or other outpatient visit, 10-19 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 65808)

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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: 5092624320View full group profile
NameSpecialtyState
Family PracticeMO
Family PracticeMO
-MO
-MO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
R H E U M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
R H E U M A T O L O G YMO

Reviews

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Frequently asked questions

What identifier follows DR. LISA REQUENA (D.O.) across health systems?
The NPI 1164761946 uniquely identifies DR. LISA REQUENA (D.O.) in U.S. healthcare data.
Is DR. LISA REQUENA (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists DR. LISA REQUENA (D.O.) as active.
Which specialty label fits DR. LISA REQUENA (D.O.)?
NPPES ties DR. LISA REQUENA (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LISA REQUENA (D.O.)?
DR. LISA REQUENA (D.O.) is associated with Springfield, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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