MRS. LISA RENEE RADER (C.N.P.) – Adult Health Nurse Practitioner, NPI 1053519207

MRS. LISA RENEE RADER (C.N.P.) is a healthcare provider. based in Germantown, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials C.N.P.. They hold a License No. APN0000019900 (TN). The NPI Number for MRS. LISA RENEE RADER (C.N.P.) is 1053519207

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA RENEE RADER (C.N.P.)
NPI
1053519207
Phone
(901) 322-9080
Address
7714 POPLAR AVE STE 200
Enumeration Date
10 July 2007
Last Update Date
4 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9016830055
Graduation Year
2000 (26 years ago)
PAC ID
9436346160
Group Practice PAC ID
2668360579
Professional Enrollment ID
I20161104001508
Address ID
TN381381762GE7945XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

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Provider Addresses for MRS. LISA RENEE RADER (C.N.P.)

  • Poplar Avenue, Forest Hill, Germantown, Shelby County, Tennessee, 38139, United States

    ATTN: CREDENTIALING

    GERMANTOWN, TN 381383941

    Phone: (901) 322-9080

    Fax: (901) 922-6722

    Type: Mailing

  • 7945, Wolf River Boulevard, Germantown, Shelby County, Tennessee, 38138, United States

    GERMANTOWN, TN 381381762

    Phone: (901) 683-0055

    Fax: (901) 685-2969

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Astellas Pharma US Inc ($100).

Total Amount

$137

General + Research + Ownership

Payments

3

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2017-03-22

PECOS data refreshed: 2026-06-15

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
I20161104001508INurse PractitionerTNTBD
I20170322002113INurse PractitionerMSTBD

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
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count235115$0
80048Blood test, basic group of blood chemicals (calcium, total)202110$0
80076Liver function blood test panel15993$0
99214Established patient office or other outpatient visit, 30-39 minutes14785$0
99213Established patient office or other outpatient visit, 20-29 minutes12284$0
View full utilization report →

Insurance plans in this area (ZIP 38138)

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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: 2668360579View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
-TN
Nurse PractitionerTN
Hematology/Oncology, Internal MedicineTN
-TN
-TN
H E M A T O L O G Y/ O N C O L O G YTN
Nurse PractitionerMS
-TN

Reviews

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Frequently asked questions

Can I verify MRS. LISA RENEE RADER (C.N.P.) with an NPI only?
You can start verification with NPI 1053519207 for MRS. LISA RENEE RADER (C.N.P.), then check state licensing separately.
Does the file indicate MRS. LISA RENEE RADER (C.N.P.) is practicing under active NPI?
Directory data currently reports MRS. LISA RENEE RADER (C.N.P.) as active.
What is MRS. LISA RENEE RADER (C.N.P.)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for MRS. LISA RENEE RADER (C.N.P.) here. Clinical services aligned with this taxonomy classification.
Does MRS. LISA RENEE RADER (C.N.P.) list a practice location?
Patients near Germantown, Tennessee may find MRS. LISA RENEE RADER (C.N.P.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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