LISA WESTERN (DNP, FNP-C) – Nurse Practitioner, NPI 1558712414

LISA WESTERN (DNP, FNP-C) is a healthcare provider. based in Laramie, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. 6948805-4405 (UT). The NPI Number for LISA WESTERN (DNP, FNP-C) is 1558712414

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LISA WESTERN (DNP, FNP-C)
NPI
1558712414
Phone
(307) 766-3313
Address
1174 N 22ND ST
Enumeration Date
22 June 2016
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3074315055
Graduation Year
2016 (10 years ago)
PAC ID
2062700396
Group Practice PAC ID
4183607054
Professional Enrollment ID
I20200805001262
Address ID
WY820723038LA2710XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,657 NURSE PRACTITIONER in UT

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Provider Addresses for LISA WESTERN (DNP, FNP-C)

  • 1174 N 22ND ST

    LARAMIE, WY 820725401

    Phone: (307) 766-3313

    Type: Mailing

  • 4465, 900 East, Millcreek, Salt Lake County, Utah, 84124, United States

    MILLCREEK, UT 841242469

    Phone: (801) 266-2777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $946.

Total Amount is formed as General ($946) + Research ($0) + Ownership ($0) = $946.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($219).

Total Amount

$946

General + Research + Ownership

Payments

49

Total payment records

General Amount

$946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2020-08-05

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
I20200805001262INurse PractitionerWYTBD

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 82072)

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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: 4183607054View full group profile
NameSpecialtyState
Clinical Social WorkerWY
-WY
Qualified Speech Language PathologistWY
Qualified Speech Language PathologistWY
Psychiatry, Addiction MedicineWY
-WA
Physician AssistantWY
Nurse PractitionerWY
Qualified AudiologistWY
Family PracticeWY

Reviews

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Frequently asked questions

What number should I use to identify LISA WESTERN (DNP, FNP-C) for billing?
Administrative and clinical systems typically use NPI 1558712414 for LISA WESTERN (DNP, FNP-C).
Should I treat LISA WESTERN (DNP, FNP-C) as an active provider?
Patients and plans typically see LISA WESTERN (DNP, FNP-C) as active in the national extract.
How should patients interpret LISA WESTERN (DNP, FNP-C)'s specialty?
The extract shows Nurse Practitioner for LISA WESTERN (DNP, FNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LISA WESTERN (DNP, FNP-C)?
LISA WESTERN (DNP, FNP-C) is associated with Laramie, Wyoming in the same public data insurers reference.
Can I export LISA WESTERN (DNP, FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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