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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: August 16, 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.

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
Phone(860) 688-3663
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
250 LAMBERTON RD, Windsor, CT 06095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.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.

APNOT BETTER SLEEP CENTERS, PLLC
Durable Medical Equipment & Medical Supplies
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 658-3663
CAROTID CARE, LLC.
Radiologic Technologist (Vascular Sonography)
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (508) 344-8595
DR. JANEL L. JOHNSON DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663
DR. JOSHUA M GOLDMAN DDS
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663
DR. TAJESH GOHEL
Dentist (General Practice)
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663
DR. PHILIP C FELDBERG DDS
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663
DR. STUART SPENCER FURMAN
Dentist
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663
NEW ENGLAND DENTAL CENTER
Dentist (General Practice)
250 LAMBERTON RD
WINDSOR, CT 06095
Capitol Planning Region (860) 688-3663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fredrickson's NPI number?

The NPI number for Lisa Fredrickson is 1023576493. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Lisa Fredrickson located?

Lisa Fredrickson practices at 250 Lamberton Rd, Windsor, CT 06095. The listed phone number is (860) 688-3663.

What is Lisa Fredrickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lisa Fredrickson enrolled in Medicare?

Yes. Lisa Fredrickson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Fredrickson accept?

Health plans from Humana list Lisa Fredrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Fredrickson was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.