LISA KALYNN SANDERS (FNP-C) – Family Nurse Practitioner, NPI 1154920247

LISA KALYNN SANDERS (FNP-C) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1016659 (TX). The NPI Number for LISA KALYNN SANDERS (FNP-C) is 1154920247

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LISA KALYNN SANDERS (FNP-C)
NPI
1154920247
Phone
(903) 987-0906
Address
2128 PAGE CREEK TRL
Enumeration Date
20 October 2020
Last Update Date
20 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035674692
Graduation Year
2020 (6 years ago)
PAC ID
8921493644
Group Practice PAC ID
7517385388
Professional Enrollment ID
I20220316001359
Address ID
TX751032418CA301XX243X501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LISA KALYNN SANDERS (FNP-C)

  • 2128 PAGE CREEK TRL

    LONGVIEW, TX 756010007

    Phone: (903) 987-0906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-16

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
I20220316001359INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg32331$0
99213Established patient office or other outpatient visit, 20-29 minutes8367$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4441$0
96372Injection of drug or substance under skin or into muscle4438$0
87804Detection test by immunoassay with direct visual observation for influenza virus4221$0
View full utilization report →

Insurance plans in this area (ZIP 75601)

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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: 7517385388View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeUT
Nurse PractitionerTX
Physician AssistantNM
Internal MedicineTX
Nurse PractitionerTX
Family PracticeTX

Reviews

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Frequently asked questions

Does LISA KALYNN SANDERS (FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LISA KALYNN SANDERS (FNP-C) uses 1154920247.
Is LISA KALYNN SANDERS (FNP-C) still practicing?
LISA KALYNN SANDERS (FNP-C) is currently listed as active in the public NPI registry.
What is LISA KALYNN SANDERS (FNP-C) best known for clinically?
Directory data describes LISA KALYNN SANDERS (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect LISA KALYNN SANDERS (FNP-C) on a map?
Expect Longview, Texas as a primary anchor for LISA KALYNN SANDERS (FNP-C) unless the record lists multiple sites.
Is the information about LISA KALYNN SANDERS (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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