LISA ANN ELLIOTT (WHNP-RX AUTH) – Women's Health Nurse Practitioner, NPI 1124128806

LISA ANN ELLIOTT (WHNP-RX AUTH) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP-RX AUTH. They hold a License No. 610412 (TX). The NPI Number for LISA ANN ELLIOTT (WHNP-RX AUTH) is 1124128806

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANN ELLIOTT (WHNP-RX AUTH)
NPI
1124128806
Phone
(409) 747-6240
Address
PO BOX 650859
Enumeration Date
23 September 2006
Last Update Date
17 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814853220
Graduation Year
1998 (28 years ago)
PAC ID
1759390974
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20060418000082
Address ID
TX775814905PE2750XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for LISA ANN ELLIOTT (WHNP-RX AUTH)

  • PO BOX 650859

    DEPT 710

    DALLAS, TX 752652515

    Phone: (409) 747-6240

    Fax: (713) 984-6525

    Type: Mailing

  • Memorial Plastic Surgery, 929, Gessner Road, Houston, Harris County, Texas, 77024, United States

    SUITE 2225

    HOUSTON, TX 770242515

    Phone: (713) 365-2900

    Fax: (713) 984-6525

    Type: Mailing

  • 3737 RED BLUFF RD STE 150

    PASADENA, TX 775033307

    Phone: (409) 266-1888

    Fax: (713) 473-7160

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Organon LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$18
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: 2006-04-18

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
I20060418000082INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75265)

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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: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I use this page to confirm LISA ANN ELLIOTT (WHNP-RX AUTH)'s NPI?
Yes. LISA ANN ELLIOTT (WHNP-RX AUTH) is listed with NPI 1124128806 in the public NPI dataset.
Can I rely on LISA ANN ELLIOTT (WHNP-RX AUTH) being an active provider?
As of the registry snapshot, LISA ANN ELLIOTT (WHNP-RX AUTH) is marked active.
What is LISA ANN ELLIOTT (WHNP-RX AUTH)'s specialty?
The listing groups LISA ANN ELLIOTT (WHNP-RX AUTH) with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does LISA ANN ELLIOTT (WHNP-RX AUTH) serve?
LISA ANN ELLIOTT (WHNP-RX AUTH)'s listing highlights Dallas, Texas; more addresses can appear in NPPES.
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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