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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA DANIELLE PROCTOR APRN FNP-C
NPI 1508521584
Nurse Practitioner - Family in Tyler, TX

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment
3593 E GRANDE BLVD, TYLER, TX 75707(903) 606-1664(903) 525-1590 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Nov 3, 2021 (2 updates tracked since 2021).

About Lisa Danielle Proctor Aprn Fnp-c NPPES

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

LISA DANIELLE PROCTOR APRN FNP-C (NPI 1508521584) is an individual family provider in Tyler, Texas, licensed in Texas (1058113) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Woodland Heights Medical Center, and maintains a secondary practice location in Woodville.

NPPES Registry Identity

NPI1508521584
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA DANIELLE PROCTORCredential: APRN FNP-C
Location Address3593 E GRANDE BLVDTyler, TX 75707-1400
Mailing Address104 N Beech StWoodville, TX 75979-4718 · (409) 283-2822
Phone(903) 606-1664
Fax(903) 525-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1508521584 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 TX · 1058113
3593 E GRANDE BLVD, Tyler, TX 75707
Open in Google Maps ↗

Secondary Practice Location 1

Location 1104 N Beech StWoodville, TX 75979-4718 · Phone (409) 283-2822

Other Identifiers 1

Other1058113TX · Texas Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Lisa Danielle Proctor Aprn 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 ID8022495951
PECOS Enrollment IDI20220516001845
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 Lisa Proctor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health And Human Services Commission
33 mi
Psychologist
805 NORTH DICKINSON
Rusk, TX 75785
  • Reassigned Medicare billing, Texas enrollment
  • 452 clinicians in this Medicare group
NPI 1639182967 (903) 683-7201
Burke Center
73 mi
Psychiatry
2001 S MEDFORD DR
Lufkin, TX 75901
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
NPI 1396792420 (936) 633-5650
D & F Med, PLLC
77 mi
Rural Health
5005 LIVE OAK ST
Greenville, TX 75402
  • Reassigned Medicare billing, Texas enrollment
  • 9 clinicians in this Medicare group
NPI 1124905666 (903) 455-3500

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
37 services29 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
16 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75707 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 12

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

ANTHONY JAMES LEE APRN, FNP-C
Nurse Practitioner (Family)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (507) 358-7123
DR. ANDREW O'KELLEY D.O.
Family Medicine
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
RYAN L RATLIFF MD
Family Medicine (Obesity Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
MS. JILL ANN CAMPBELL MS, RD, LD, CDE
Dietitian, Registered
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
JINAL GANGAR MD
Family Medicine (Sleep Medicine)
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
CHRISTUS TRINITY CLINIC
Durable Medical Equipment & Medical Supplies
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585
KATIE STORRS P.A.-C
Physician Assistant
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 606-1664
MICHAEL ANTHONY SORTO M.D.
Pediatrics
3593 E GRANDE BLVD
TYLER, TX 75707
Smith County (903) 839-2585

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 Proctor's NPI number?

The NPI number for Lisa Proctor is 1508521584. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Lisa Proctor located?

Lisa Proctor practices at 3593 E Grande Blvd, Tyler, TX 75707. The listed phone number is (903) 606-1664.

What is Lisa Proctor's specialty?

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

Is Lisa Proctor enrolled in Medicare?

Yes. Lisa Proctor 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 Lisa Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Proctor reassigns Medicare benefits to 3 organizations: Health And Human Services Commission (Rusk, TX), Burke Center (Lufkin, TX) and D & F Med, PLLC (Greenville, TX). 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 Lisa Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Proctor accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Lisa Proctor 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 Lisa Proctor affiliated with any hospitals?

According to CMS data, Lisa Proctor is affiliated with Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Proctor was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.