DR. LISA RENEE HASTON-FULLER (DO) – Psychiatry Physician, NPI 1831298397

DR. LISA RENEE HASTON-FULLER (DO) is a healthcare provider. based in Redford, Michigan. specializing in Psychiatry Physician. They hold the professional credentials DO. They hold a License No. 5101011198 (MI). The NPI Number for DR. LISA RENEE HASTON-FULLER (DO) is 1831298397

Main info

Female
Sole Proprietor
Name
DR. LISA RENEE HASTON-FULLER (DO)
NPI
1831298397
Phone
(248) 557-4999
Address
PO BOX 401259
Enumeration Date
21 September 2006
Last Update Date
7 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LISA RENEE HASTON-FULLER (DO)

  • PO BOX 401259

    REDFORD, MI 482409259

    Phone: (248) 557-4999

    Type: Mailing

  • Telegraph Road, Redford Township, Wayne County, Michigan, 48223, United States

    REDFORD, MI 48239

    Phone: (313) 450-4500

    Fax: (313) 450-4514

    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: 2005-03-28

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
I20050328000951IGeriatric PsychiatryMITBD

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 minutes4017$0
99214Established patient office or other outpatient visit, 30-39 minutes1811$0
99215Established patient office or other outpatient visit, 40-54 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 48240)

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Reviews

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Frequently asked questions

What identifier follows DR. LISA RENEE HASTON-FULLER (DO) across health systems?
The NPI 1831298397 uniquely identifies DR. LISA RENEE HASTON-FULLER (DO) in U.S. healthcare data.
Does the public listing show DR. LISA RENEE HASTON-FULLER (DO) as active?
DR. LISA RENEE HASTON-FULLER (DO)'s NPI record reflects an active status in NPPES.
What services align with DR. LISA RENEE HASTON-FULLER (DO)'s listing?
DR. LISA RENEE HASTON-FULLER (DO)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LISA RENEE HASTON-FULLER (DO)?
DR. LISA RENEE HASTON-FULLER (DO) is associated with Redford, Michigan in the same public data insurers reference.
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.

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