LISA DUNIVAN KING (NP) – Family Nurse Practitioner, NPI 1407520786
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for LISA DUNIVAN KING (NP)
375 PEDDY VESTAL LOOP
HENDERSON, TN 383403492
Phone: (731) 695-4439
Type: Mailing
1605 S HIGHLAND AVE
JACKSON, TN 383017718
Phone: (731) 424-9741
Fax: (731) 427-5241
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $353.
Total Amount is formed as General ($353) + Research ($0) + Ownership ($0) = $353.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: ABBVIE INC. ($183).
Total Amount
$353
General + Research + Ownership
Payments
10
Total payment records
General Amount
$353
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $183 |
| AstraZeneca Pharmaceuticals LP | $121 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $25 |
| Novo Nordisk Inc | $24 |
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: 2022-03-15
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220315001176 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 38340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TN | |
| - | TN | |
| - | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN |
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