LISA HAVICK AGACNP
NPI 1063878288
Nurse Practitioner - Acute Care in Dallas, TX

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
3500 GASTON AVE, DALLAS, TX 75246(214) 820-0111 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Havick Agacnp NPPES

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

LISA HAVICK AGACNP (NPI 1063878288) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP129579) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1063878288
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA HAVICKCredential: AGACNP
Location Address3500 GASTON AVEDallas, TX 75246
Mailing Address3500 Gaston AveDallas, TX 75246-2088 · (214) 820-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 4, 2016
Last NPPES UpdateNovember 15, 2019
NPI 1063878288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · AP129579
3500 GASTON AVE, Dallas, TX 75246

Secondary Practice Location 1

Location 11810 Turner Ridge Dr Apt 9305Fort Worth, TX 76110-7415 · Phone (402) 430-3782

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 and accepts Medicare assignment

Lisa Havick Agacnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719225465
PECOS Enrollment IDI20190205002512
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246

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 Havick's NPI number?

The NPI number for Lisa Havick is 1063878288. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Lisa Havick located?

Lisa Havick practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.

What is Lisa Havick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Havick enrolled in Medicare?

Yes. Lisa Havick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Havick accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Lisa Havick 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.

Is Lisa Havick affiliated with any hospitals?

According to CMS data, Lisa Havick is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Havick was last updated on November 15, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.