LISA MICHELE SAMPLE (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1003582644

LISA MICHELE SAMPLE (AG-ACNP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. 205023 (OK). The NPI Number for LISA MICHELE SAMPLE (AG-ACNP) is 1003582644

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LISA MICHELE SAMPLE (AG-ACNP)
NPI
1003582644
Phone
Not provided
Address
6600 S YALE AVE STE 1400
Enumeration Date
23 August 2021
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184941805
Graduation Year
2021 (5 years ago)
PAC ID
6608256185
Group Practice PAC ID
8820136724
Professional Enrollment ID
I20220629003282
Address ID
OK741363347TU6600XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for LISA MICHELE SAMPLE (AG-ACNP)

  • 6600 S YALE AVE STE 1400

    TULSA, OK 741363331

    Phone:

    Type: Mailing

  • 6161 S YALE AVE

    TULSA, OK 741361902

    Phone: (918) 494-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2022-06-29

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
I20220629003282INurse PractitionerOKTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes880238$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes120116$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3837$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2719$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 8820136724View full group profile
NameSpecialtyState
Orthopedic Surgery, Critical Care (Intensivists)OK
Orthopedic SurgeryOK
Critical Care (Intensivists), Orthopedic SurgeryOK
Orthopedic SurgeryOK
Physician AssistantOK
Physician AssistantOK
General SurgeryOK
Physician AssistantOK
General SurgeryOK
General SurgeryOK

Reviews

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Frequently asked questions

How do payers reference LISA MICHELE SAMPLE (AG-ACNP)?
For LISA MICHELE SAMPLE (AG-ACNP), use NPI 1003582644 as the unique 10-digit identifier.
Would LISA MICHELE SAMPLE (AG-ACNP) appear as active to a payer?
You can treat LISA MICHELE SAMPLE (AG-ACNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for LISA MICHELE SAMPLE (AG-ACNP)?
At a glance, LISA MICHELE SAMPLE (AG-ACNP) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA MICHELE SAMPLE (AG-ACNP) associated with Tulsa?
Public fields place LISA MICHELE SAMPLE (AG-ACNP) around Tulsa, Oklahoma. Always confirm the exact site before visiting.
Does LISA MICHELE SAMPLE (AG-ACNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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