LISA J SELLERS (ARNP) – Nurse Practitioner, NPI 1275012015
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LISA J SELLERS (ARNP)
2000 Centre Pointe Blvd
Tallahassee, FL 323084894
Phone: (850) 309-0400
Fax: (850) 942-2562
Type: Location
509 WHEAT AVE
BAINBRIDGE, GA 39819
Phone: (229) 416-4421
Fax: (229) 416-4644
Type: Location
454, Smith Avenue, McLoughlin Heights, Thomasville, Thomas County, Georgia, 31792, United States
THOMASVILLE, GA 317925535
Phone: (229) 584-2540
Fax: (229) 226-2036
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $449.
Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($110).
Total Amount
$449
General + Research + Ownership
Payments
20
Total payment records
General Amount
$449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-03-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190319003004 | I | Nurse Practitioner | GA | TBD |
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.
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 32308)
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