LISA FREDRICKSON
NPI 1023576493
Dentist - General Practice in Windsor, CT

Active since March 05, 2019PECOS Enrolled
250 LAMBERTON RD, WINDSOR, CT 06095(860) 688-3663 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2020, Mar 5, 2019 (2 updates tracked since 2019).

About Lisa Fredrickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA FREDRICKSON (NPI 1023576493) is an individual general practice provider in Windsor, Connecticut, licensed in Connecticut (12734) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Hyde Park.

NPPES Registry Identity

NPI1023576493
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameLISA FREDRICKSON
Location Address250 LAMBERTON RDWindsor, CT 06095-2149
Mailing Address79 Wrights Pond RdWestbrook, CT 06498-1458 · (860) 575-4196
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
NPI 1023576493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 12734
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

250 LAMBERTON RD, Windsor, CT 06095

Secondary Practice Location 1

Location 127005 76th AveNew Hyde Park, NY 11040-1402 · Phone (718) 470-3076

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Fredrickson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist (General Practice)
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist (Orthodontics and Dentofacial Orthopedics)
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist (General Practice)
250 LAMBERTON RD
WINDSOR, CT 06095
Durable Medical Equipment & Medical Supplies
250 LAMBERTON RD
WINDSOR, CT 06095
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023576493, enumerated as an "individual" on March 05, 2019.

The provider is located at 250 LAMBERTON RD WINDSOR, CT 06095 and the phone number is (860) 688-3663.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.