MRS. LISA DIANE FAIR PMHNP-BC
NPI 1457077315
Nurse Practitioner - Psychiatric/Mental Health in Cordova, TN
About Mrs. Lisa Diane Fair Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA DIANE FAIR PMHNP-BC (NPI 1457077315) is an individual psychiatric/mental health provider in Cordova, Tennessee, licensed in Tennessee (32712) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Lisa Diane Fair Pmhnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Fair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cordova, TN 38016
- Reassigned Medicare billing, Tennessee enrollment
- 7 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORDOVA, TN 38016
CORDOVA, TN 38016
CORDOVA, TN 38016
CORDOVA, TN 38016
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 Fair's NPI number?
The NPI number for Lisa Fair is 1457077315. It was assigned to this individual provider in the NPPES registry on October 12, 2022.
Where is Lisa Fair located?
Lisa Fair practices at 8130 Country Village Dr, Cordova, TN 38016. The listed phone number is (901) 566-1002.
What is Lisa Fair's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lisa Fair enrolled in Medicare?
Yes. Lisa Fair 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 organization bills Medicare for Lisa Fair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fair reassigns Medicare benefits to Healthquest PC (Cordova, TN). 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 Fair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Fair accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Lisa Fair 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 Fair was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Lisa Diane Fair, PMHNP-BC · NPI 1457077315
Psychiatric/Mental Health physician in Cordova, Tennessee. Individual provider, active in the CMS NPPES registry since October 12, 2022.
## Identity
- **NPI:** 1457077315 (Entity type: Individual)
- **Enumerated:** October 12, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 32712 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8130 COUNTRY VILLAGE DR, Cordova, TN 38016-2087
- **Phone:** (901) 566-1002
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthquest PC (NPI 1548229131, Cordova, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457077315) · Data from the CMS NPPES public registry.