MRS. LISA DIANE FAIR (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457077315

MRS. LISA DIANE FAIR (PMHNP-BC) is a healthcare provider. based in Arlington, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 32712 (TN). The NPI Number for MRS. LISA DIANE FAIR (PMHNP-BC) is 1457077315

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA DIANE FAIR (PMHNP-BC)
NPI
1457077315
Phone
(901) 870-7681
Address
3092 CHAMBERS CHAPEL RD.
Enumeration Date
12 October 2022
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9013082915
Graduation Year
2022 (4 years ago)
PAC ID
5597133306
Group Practice PAC ID
6406742303
Professional Enrollment ID
I20221129002863
Address ID
TN380162087CO8130XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for MRS. LISA DIANE FAIR (PMHNP-BC)

  • 3092 CHAMBERS CHAPEL RD.

    ARLINGTON, TN 38002

    Phone: (901) 870-7681

    Type: Mailing

  • 8130 COUNTRY VILLAGE DR

    CORDOVA, TN 380162087

    Phone: (901) 566-1002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,383.

Total Amount is formed as General ($1,383) + Research ($0) + Ownership ($0) = $1,383.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($200).

Total Amount

$1,383

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,383

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2022-11-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221129002863INurse PractitionerTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2825$0
View full utilization report →

Insurance plans in this area (ZIP 38002)

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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: 6406742303View full group profile

Reviews

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Frequently asked questions

Where can patients find MRS. LISA DIANE FAIR (PMHNP-BC)'s NPI?
You can confirm MRS. LISA DIANE FAIR (PMHNP-BC) with NPI 1457077315; it appears in the national provider directory.
Is MRS. LISA DIANE FAIR (PMHNP-BC) currently active in the NPI registry?
CMS-published data lists MRS. LISA DIANE FAIR (PMHNP-BC) as an active registrant.
Does MRS. LISA DIANE FAIR (PMHNP-BC) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for MRS. LISA DIANE FAIR (PMHNP-BC). Clinical services aligned with this taxonomy classification.
Does MRS. LISA DIANE FAIR (PMHNP-BC) practice in Tennessee?
You will see Arlington, Tennessee on file for MRS. LISA DIANE FAIR (PMHNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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