LISA J OSWALT- SIMMONS CFNP
NPI 1154501096
Nurse Practitioner - Family in Jackson, MS

Active since November 08, 2007PECOS EnrolledAccepts Medicare Assignment
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 362-5321 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa J Oswalt- Simmons Cfnp NPPES

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

LISA J OSWALT- SIMMONS CFNP (NPI 1154501096) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (724335) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1154501096
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA J OSWALT- SIMMONSCredential: CFNP
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing AddressPo Box 3437Jackson, MS 39207-3437 · (601) 362-5321 · Fax (601) 362-5321
Fax(601) 362-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 8, 2007
Last NPPES UpdateJuly 28, 2025
NPPES CertifiedJuly 28, 2025
NPI 1154501096 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 · 724335
3502 W NORTHSIDE DR, Jackson, MS 39213

Other Names 1

Other Name (5)Lisa J Oswalt

Secondary Practice Location 1

Location 1969 Lakeland DrJackson, MS 39216-4606 · Phone (601) 200-3631 · Fax (601) 200-0159

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 J Oswalt- Simmons Cfnp 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 ID9335225663
PECOS Enrollment IDI20080326000576
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
40 services29 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
38 services30 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
26 services25 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.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39213 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 20

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

Clinical Medical Laboratory
3502 W NORTHSIDE DR
JACKSON, MS 39213
Obstetrics & Gynecology
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Optometrist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Pediatrics)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Pediatrics
3502 W NORTHSIDE DR
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154501096, enumerated as an "individual" on November 08, 2007.

The provider is located at 3502 W NORTHSIDE DR JACKSON, MS 39213 and the phone number is (601) 362-5321.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Lisa Oswalt- Simmons is affiliated with: ST DOMINIC-JACKSON MEMORIAL HOSPITAL.