MRS. WANITA LISTER (FNP-C) – Family Nurse Practitioner, NPI 1467893172

MRS. WANITA LISTER (FNP-C) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2006021735 (MO). The NPI Number for MRS. WANITA LISTER (FNP-C) is 1467893172

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. WANITA LISTER (FNP-C)
NPI
1467893172
Phone
(417) 269-5712
Address
PO BOX 4046
Enumeration Date
10 July 2013
Last Update Date
12 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4177450103
Graduation Year
2013 (13 years ago)
PAC ID
7012137425
Group Practice PAC ID
6002068723
Professional Enrollment ID
I20141007002494
Address ID
MO656688204HE18614STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. WANITA LISTER (FNP-C)

  • PO BOX 4046

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 1317 W BROADWAY ST

    BOLIVAR, MO 656131814

    Phone: (417) 326-7250

    Type: Location

  • 3315 S Campbell Ave

    Springfield, MO 658074914

    Phone: (417) 886-2219

    Fax: (417) 886-2293

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($94).

Total Amount

$206

General + Research + Ownership

Payments

11

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2014-10-07

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
I20141007002494INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 6002068723View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
-MO
Nurse PractitionerMO
O P T O M E T R YMO
Family PracticeMO
Nurse PractitionerMO
Nurse PractitionerFL
Family Practice, Hospice/Palliative CareMO
Physician AssistantMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to MRS. WANITA LISTER (FNP-C)?
The federal identifier for MRS. WANITA LISTER (FNP-C) is NPI 1467893172.
Is MRS. WANITA LISTER (FNP-C)'s NPI currently valid?
The extract we use shows MRS. WANITA LISTER (FNP-C) as active.
What field does MRS. WANITA LISTER (FNP-C) work in?
You can think of MRS. WANITA LISTER (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. WANITA LISTER (FNP-C) practice in Missouri?
You will see Springfield, Missouri on file for MRS. WANITA LISTER (FNP-C) alongside any extra practice locations.
What if Springfield, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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