LISA ANN OSTRANDER (AGNP-C) – Gerontology Nurse Practitioner, NPI 1104398361

LISA ANN OSTRANDER (AGNP-C) is a healthcare provider. based in Taylorsville, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 7010732-3102 (UT). The NPI Number for LISA ANN OSTRANDER (AGNP-C) is 1104398361

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANN OSTRANDER (AGNP-C)
NPI
1104398361
Phone
(801) 944-0095
Address
1385 W 2200 S
Enumeration Date
27 December 2018
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3852426729
Graduation Year
2016 (10 years ago)
PAC ID
8527308394
Professional Enrollment ID
I20190314001943
Address ID
UT841033641SA755XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,657 NURSE PRACTITIONER in UT

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Provider Addresses for LISA ANN OSTRANDER (AGNP-C)

  • 1385 West, Barrington Park Community, Taylorsville, Salt Lake County, Utah, 84123, United States

    TAYLORSVILLE, UT 841197205

    Phone: (801) 944-0095

    Type: Location

  • 1208 E 3300 S

    Slc, UT 841062522

    Phone: (801) 483-1600

    Type: Location

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: 2019-03-14

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
I20190314001943INurse PractitionerUTTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes19167$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes4444$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month3419$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3320$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1818$0
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Insurance plans in this area (ZIP 84119)

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Reviews

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Frequently asked questions

What is LISA ANN OSTRANDER (AGNP-C)'s NPI number?
LISA ANN OSTRANDER (AGNP-C)'s NPI is 1104398361 — the number used across U.S. healthcare to identify this provider.
Is LISA ANN OSTRANDER (AGNP-C) shown as active in public data?
Registry records indicate LISA ANN OSTRANDER (AGNP-C) maintains an active NPI.
What kind of doctor is LISA ANN OSTRANDER (AGNP-C)?
LISA ANN OSTRANDER (AGNP-C) is associated with Gerontology Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LISA ANN OSTRANDER (AGNP-C)?
Directory geography for LISA ANN OSTRANDER (AGNP-C) centers on Taylorsville, Utah.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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