MS. LISA M ALLEN (PA-C) – Physician Assistant, NPI 1174639595

MS. LISA M ALLEN (PA-C) is a healthcare provider. based in Sudan, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA02006 (TX). The NPI Number for MS. LISA M ALLEN (PA-C) is 1174639595

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA M ALLEN (PA-C)
NPI
1174639595
Phone
(806) 227-2292
Address
408 E US HWY 84
Enumeration Date
21 August 2006
Last Update Date
26 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8062272292
Graduation Year
1997 (29 years ago)
PAC ID
6800818204
Group Practice PAC ID
7618999004
Professional Enrollment ID
I20051229000218
Address ID
TX793714509SU408XX84XX400

Contacts

Secure Messaging
provider@sudanmed.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. LISA M ALLEN (PA-C)

  • 408 E US HWY 84

    SUDAN, TX 79371

    Phone: (806) 227-2292

    Fax: (806) 227-2293

    Type: Location

  • 119, Al Sudan Street, Bulaq Al-Dakrour, Bulaq al Dakrur, 12657, Egypt

    SUDAN, TX 793710119

    Phone: (806) 227-2292

    Fax: (806) 227-2293

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($210).

Total Amount

$371

General + Research + Ownership

Payments

12

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2005-12-29

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
I20051229000218IPhysician AssistantTXTBD

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
81003Automated urinalysis test4334$0
83036Hemoglobin a1c level2821$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1311$0
View full utilization report →

Insurance plans in this area (ZIP 79371)

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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: 7618999004View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is MS. LISA M ALLEN (PA-C) listed with a National Provider Identifier?
Yes — MS. LISA M ALLEN (PA-C) has NPI 1174639595 on file in the registry.
Is MS. LISA M ALLEN (PA-C) still an active registrant?
MS. LISA M ALLEN (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is MS. LISA M ALLEN (PA-C)?
MS. LISA M ALLEN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MS. LISA M ALLEN (PA-C) located near Sudan?
MS. LISA M ALLEN (PA-C) currently maps to Sudan, Texas in this extract.
When was this NPI issued?
Enumeration for MS. LISA M ALLEN (PA-C) is noted as August 21, 2006 where the registry provides it.

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