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MRS. LANISSA DANIELLE ODOR FNP-BC
NPI 1083056386
Nurse Practitioner - Family in Horn Lake, MS

Active since July 27, 2013PECOS EnrolledAccepts Medicare Assignment
2085 GOODMAN RD W, SUITE 50, HORN LAKE, MS 38637(662) 253-8459(662) 253-8678 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2015, Sep 29, 2015 (2 updates tracked since 2015).

About Mrs. Lanissa Danielle Odor Fnp-bc NPPES

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

MRS. LANISSA DANIELLE ODOR FNP-BC (NPI 1083056386) is an individual family provider in Horn Lake, Mississippi, licensed in Mississippi (A810645) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083056386
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LANISSA DANIELLE ODORCredential: FNP-BC
Location Address2085 GOODMAN RD W, SUITE 50Horn Lake, MS 38637-1416
Mailing Address2085 Goodman Rd W, Suite 50Horn Lake, MS 38637-1416 · (662) 253-8459
Phone(662) 253-8459
Fax(662) 253-8678
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 27, 2013
Last NPPES UpdateDecember 30, 20152 updates tracked since enumeration
✔ NPI 1083056386 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 MS · A810645✔ Licensed in TN · 17722
2085 GOODMAN RD W, Horn Lake, MS 38637
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lanissa Danielle Odor Fnp-bc 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 ID7810130473
PECOS Enrollment IDI20150421001682
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 Reassignments

3

Medicare enrollment records show Lanissa Odor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

S & k Medical,llc
Same address
Family Medicine
2085 GOODMAN RD W
Horn Lake, MS 38637
  • Reassigned Medicare billing, Mississippi enrollment
  • 2 clinicians in this Medicare group
NPI 1396134151 (662) 253-8459
Fast Pace Mississippi, PLLC
64 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Upperline Healthcare, PC
214 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Mississippi enrollment
  • 207 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services61 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
37 services37 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
33 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services22 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38637 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

DR. DIANE A FERGUSON MD
Family Medicine
2085 GOODMAN RD W, SUITE 50
HORN LAKE, MS 38637
Desoto County (662) 253-8459
S&K MEDICAL,LLC
Family Medicine
2085 GOODMAN RD W
HORN LAKE, MS 38637
Desoto County (662) 253-8459

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 Lanissa Odor's NPI number?

The NPI number for Lanissa Odor is 1083056386. It was assigned to this individual provider in the NPPES registry on July 27, 2013.

Where is Lanissa Odor located?

Lanissa Odor practices at 2085 Goodman Rd W Suite 50, Horn Lake, MS 38637. The listed phone number is (662) 253-8459.

What is Lanissa Odor's specialty?

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

Is Lanissa Odor enrolled in Medicare?

Yes. Lanissa Odor 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.

Which organizations bill Medicare for Lanissa Odor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lanissa Odor reassigns Medicare benefits to 3 organizations: S & k Medical,llc (Horn Lake, MS), Fast Pace Mississippi, PLLC (Ripley, MS) and Upperline Healthcare, PC (Hoover, AL). Each 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 Lanissa Odor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lanissa Odor accept?

Health plans from Cigna Healthcare and Molina Healthcare list Lanissa Odor 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 Lanissa Odor was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.