MRS. WANITA LISTER FNP-C
NPI 1467893172
Nurse Practitioner - Family in Bolivar, MO

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
1317 W BROADWAY ST, BOLIVAR, MO 65613(417) 326-7250 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Wanita Lister Fnp-c NPPES

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

MRS. WANITA LISTER FNP-C (NPI 1467893172) is an individual family provider in Bolivar, Missouri, licensed in Missouri (2013029766) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1467893172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. WANITA LISTERCredential: FNP-C
Location Address1317 W BROADWAY STBolivar, MO 65613-1814
Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-5712 · Fax (417) 269-7567
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateSeptember 12, 2019
NPI 1467893172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2013029766
Also ListedRegistered NurseTaxonomy 163W00000X · License 2006021735 (MO)
1317 W BROADWAY ST, Bolivar, MO 65613

Secondary Practice Location 1

Location 13315 S Campbell AveSpringfield, MO 65807-4914 · Phone (417) 886-2219 · Fax (417) 886-2293

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

Mrs. Wanita Lister Fnp-c 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 ID7012137425
PECOS Enrollment IDI20141007002494
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.

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Public Health or Welfare
1317 W BROADWAY ST
BOLIVAR, MO 65613
Nurse Practitioner
1317 W BROADWAY ST
BOLIVAR, MO 65613

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 Wanita Lister's NPI number?

The NPI number for Wanita Lister is 1467893172. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Wanita Lister located?

Wanita Lister practices at 1317 W Broadway St, Bolivar, MO 65613. The listed phone number is (417) 326-7250.

What is Wanita Lister's specialty?

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

Is Wanita Lister enrolled in Medicare?

Yes. Wanita Lister 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.

What insurance does Wanita Lister accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Wanita Lister 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.

Is Wanita Lister affiliated with any hospitals?

According to CMS data, Wanita Lister is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Wanita Lister was last updated on September 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.