MS. LISA CAROLE PRIMM (ARNP) – Family Nurse Practitioner, NPI 1053507798

MS. LISA CAROLE PRIMM (ARNP) is a healthcare provider. based in Carson city, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. 5409P (KY). The NPI Number for MS. LISA CAROLE PRIMM (ARNP) is 1053507798

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA CAROLE PRIMM (ARNP)
NPI
1053507798
Phone
(775) 240-6758
Address
PO BOX 3299
Enumeration Date
17 September 2007
Deactivation Date
18 June 2010
Reactivation Date
25 August 2010
Last Update Date
24 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024778888
Graduation Year
2007 (19 years ago)
PAC ID
4183704414
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20071227000594
Address ID
KY400719772TA870XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:18State licenses:3Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for MS. LISA CAROLE PRIMM (ARNP)

  • PO BOX 3299

    CARSON CITY, NV 897023299

    Phone: (775) 240-6758

    Fax: (888) 700-0187

    Type: Mailing

  • Lane Allen Road, Harrods Park Townhouse, Garden Springs, Lexington, Fayette County, Kentucky, 40504, United States

    LEXINGTON, KY 40504

    Phone: (502) 498-4071

    Fax: (888) 423-5216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,088.

Total Amount is formed as General ($1,088) + Research ($0) + Ownership ($0) = $1,088.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($342).

Total Amount

$1,088

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,088

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2007-12-27

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
I20071227000594INurse PractitionerKYTBD

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
81003Automated urinalysis test2821$0
83036Hemoglobin a1c level2419$0
View full utilization report →

Insurance plans in this area (ZIP 89702)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

What NPI should I save for MS. LISA CAROLE PRIMM (ARNP)?
Save NPI 1053507798 if you need a stable reference for MS. LISA CAROLE PRIMM (ARNP).
Is MS. LISA CAROLE PRIMM (ARNP)'s NPI currently valid?
The extract we use shows MS. LISA CAROLE PRIMM (ARNP) as active.
What does MS. LISA CAROLE PRIMM (ARNP) treat or focus on?
Patients typically see MS. LISA CAROLE PRIMM (ARNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. LISA CAROLE PRIMM (ARNP)?
The page summarizes Carson City, Nevada for MS. LISA CAROLE PRIMM (ARNP); expand the address list for detail.
Is MS. LISA CAROLE PRIMM (ARNP) a real provider?
This page reflects official NPPES data for NPI 1053507798. Always confirm identity and privileges with the practice and licensing boards.

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