MS. LISA DANETTE WEST (PA-C) – Medical Physician Assistant, NPI 1104896760
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,797 PHYSICIAN ASSISTANT in OK
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Provider Addresses for MS. LISA DANETTE WEST (PA-C)
3555, Northwest 58th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
SUITE 900
OKLAHOMA CITY, OK 731124707
Phone: (405) 917-0418
Fax: (405) 917-0419
Type: Mailing
520, South Telephone Road, Moore, Cleveland County, Oklahoma, 73160, United States
MOORE, OK 731605423
Phone: (405) 793-9355
Fax: (405) 793-1621
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($190).
Total Amount
$341
General + Research + Ownership
Payments
14
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $190 |
| ABBVIE INC. | $44 |
| AstraZeneca Pharmaceuticals LP | $31 |
| Axsome Therapeutics, Inc. | $28 |
| Novo Nordisk Inc | $20 |
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: 2004-01-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040124000070 | I | Physician Assistant | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 148 | 49 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 42 | 29 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 73112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK | |
| - | OK | |
| General Practice | OK | |
| Family Practice | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Physician Assistant | OK |
Reviews
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