LISA M TEDFORD (FNP-C) – Family Nurse Practitioner, NPI 1851923320

LISA M TEDFORD (FNP-C) is a healthcare provider. based in White salmon, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP61041918 (WA). The NPI Number for LISA M TEDFORD (FNP-C) is 1851923320

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LISA M TEDFORD (FNP-C)
NPI
1851923320
Phone
(509) 493-1558
Address
501 NE WASHINGTON ST
Enumeration Date
12 February 2020
Last Update Date
25 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5413864220
Graduation Year
2019 (7 years ago)
PAC ID
0042621195
Group Practice PAC ID
2961564703
Professional Enrollment ID
I20201123000826
Address ID
OR970311516HO1021XSTXX300

Contacts

Secure Messaging
ltedford797643@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

6,261 NURSE PRACTITIONER in WA

Provider Addresses for LISA M TEDFORD (FNP-C)

  • 501 NE WASHINGTON ST

    WHITE SALMON, WA 986721826

    Phone: (509) 493-1558

    Type: Location

  • 1517 A ST

    HOOD RIVER, OR 970311635

    Phone: (541) 490-7267

    Type: Mailing

  • 9155 SW Barnes Rd Ste 730

    Portland, OR 972256634

    Phone: (503) 216-4033

    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: 2020-11-23

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
I20201123000826INurse PractitionerORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7753$0
99214Established patient office or other outpatient visit, 30-39 minutes3626$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1818$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 98672)

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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: 2961564703View full group profile

Reviews

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Frequently asked questions

What is the standard ID for LISA M TEDFORD (FNP-C) in the U.S.?
In the U.S., LISA M TEDFORD (FNP-C) is identified by NPI 1851923320.
Is LISA M TEDFORD (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists LISA M TEDFORD (FNP-C) as active.
What does the directory say LISA M TEDFORD (FNP-C) does?
Insurance directories may phrase it differently, but here LISA M TEDFORD (FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LISA M TEDFORD (FNP-C) tied to White Salmon, Washington?
If you are local to White Salmon, Washington, LISA M TEDFORD (FNP-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.