LISA L DALTON NP
NPI 1104166891
Nurse Practitioner - Family in Jackson, MS

Q: What is Lisa Dalton's NPI number?

The NPI number for Lisa Dalton is 1104166891. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Q: What is Lisa Dalton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Dalton was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 18, 2013PECOS Enrolled

1855 LAKELAND DR, STE M20, JACKSON, MS 39216(601) 364-1132(601) 364-1134 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa L Dalton Np NPPES

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

LISA L DALTON NP (NPI 1104166891) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R882967) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104166891

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA L DALTONCredential: NP

Location Address1855 LAKELAND DR, STE M20Jackson, MS 39216-4913

Mailing Address1855 Lakeland Dr, Ste M20Jackson, MS 39216-4913 · (601) 364-1132 · Fax (601) 364-1134

Phone(601) 364-1132

Fax(601) 364-1134

Sole ProprietorNo

Enumeration DateFebruary 18, 2013

✔ NPI 1104166891 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

License✔ Licensed in MS · R882967

1855 LAKELAND DR, Jackson, MS 39216

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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 L Dalton Np 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 39216 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 17

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

MRS. DENEASE INEZ BISHOP LPC, LMFT

Counselor (Professional)

1855 LAKELAND DR, SUITE P101
JACKSON, MS 39216

Hinds County (601) 278-6790

HART KATHERINE WYLIE PMHNP, LPC

Nurse Practitioner (Psychiatric/Mental Health)

1855 LAKELAND DR, SUITE P-121
JACKSON, MS 39216

Hinds County (601) 366-4696

EMILY GOEGLEIN

Counselor (Professional)

1855 LAKELAND DR
JACKSON, MS 39216

Hinds County (601) 366-4696

PORTABLE MEDICAL DIAGNOSTICS LLC

Clinic/Center (Radiology, Mobile)

1855 LAKELAND DR, STE G10
JACKSON, MS 39216

Hinds County (601) 987-9729

BYRON GALLOWAY LMFT

Marriage & Family Therapist

1855 LAKELAND DR, SUITE R-204
JACKSON, MS 39216

Hinds County (601) 982-5376

DR. DOUGLAS WILLIAM BYRD M.D.

Psychiatry & Neurology (Psychiatry)

1855 LAKELAND DR, SUITE P-231
JACKSON, MS 39216

Hinds County (601) 366-4696

MRS. ELIZABETH P TAYLOR M.S., LPC

Counselor

1855 LAKELAND DR, SUITE P121
JACKSON, MS 39216

Hinds County (601) 209-4789

MCHANNA & ASSOCIATES, INC.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

1855 LAKELAND DR, SUITE R204
JACKSON, MS 39216

Hinds County (601) 981-4262

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 Dalton's NPI number?

The NPI number for Lisa Dalton is 1104166891. It was assigned to this individual provider in the NPPES registry on February 18, 2013.

Where is Lisa Dalton located?

Lisa Dalton practices at 1855 Lakeland Dr Ste M20, Jackson, MS 39216. The listed phone number is (601) 364-1132.

What is Lisa Dalton's specialty?

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

Is Lisa Dalton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Dalton was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.