MS. LISA R PICKETT D.N.P.
NPI 1073582615
Nurse Practitioner - Family in Cookeville, TN

Active since March 16, 2006PECOS Enrolled
758 S. WILLOW AVE.,, COOKEVILLE, TN 38501(931) 526-6173(931) 526-6173 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Oct 19, 2018 (2 updates tracked since 2018).

About Ms. Lisa R Pickett D.n.p. NPPES

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

MS. LISA R PICKETT D.N.P. (NPI 1073582615) is an individual family provider in Cookeville, Tennessee, licensed in Tennessee (8414) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073582615
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LISA R PICKETTCredential: D.N.P.
Location Address758 S. WILLOW AVE.,Cookeville, TN 38501-3840
Mailing Address758 S. Willow Ave.,Cookeville, TN 38501-3840 · (931) 526-6173 · Fax (931) 526-6173
Fax(931) 526-6173
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1073582615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 8414✔ Licensed in TN · APN8418
758 S. WILLOW AVE.,, Cookeville, TN 38501

Other Names 1

Former Name (1)Ms. Lisa Tittle D.n.p

Other Identifiers 4

MedicaidQ004696TN
OtherAPN8418TN · State License Number
Other4123798TN · Bcbst
Other3207TN · Tn Board Of Nursing

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa R Pickett D.n.p. 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Pickett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Tennessee enrollment
  • 528 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Pickett's NPI number?

The NPI number for Lisa Pickett is 1073582615. It was assigned to this individual provider in the NPPES registry on March 16, 2006. The provider is also known as Ms. Lisa Tittle D.N.P.

Where is Lisa Pickett located?

Lisa Pickett practices at 758 S. Willow Ave.,, Cookeville, TN 38501. The listed phone number is (931) 526-6173.

What is Lisa Pickett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Pickett enrolled in Medicare?

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

Which organization bills Medicare for Lisa Pickett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pickett reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Pickett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Pickett accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Lisa Pickett 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 Pickett was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.