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

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment
104 N BEECH ST, WOODVILLE, TX 75979(409) 283-2822 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Woodville, Texas, licensed in Texas (1058113) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508521584
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA DANIELLE PROCTORCredential: APRN FNP-C
Location Address104 N BEECH STWoodville, TX 75979-4718
Mailing Address104 N Beech StWoodville, TX 75979-4718 · (409) 283-2822
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
NPPES CertifiedOctober 11, 2021
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
104 N BEECH ST, Woodville, TX 75979

Other Identifiers 1

Other1058113TX · Texas Board Of Nursing

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 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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75979 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 8

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

Nurse Practitioner (Family)
104 N BEECH ST, TYLER COUNTY HOSPITAL FAMILY MEDICAL CLINIC
WOODVILLE, TX 75979
General Practice
104 N BEECH ST
WOODVILLE, TX 75979
Pediatrics
104 N BEECH ST
WOODVILLE, TX 75979
General Practice
104 N BEECH ST
WOODVILLE, TX 75979
Clinic/Center (Rural Health)
104 N BEECH ST
WOODVILLE, TX 75979
Family Medicine
104 N BEECH ST
WOODVILLE, TX 75979
Family Medicine
104 N BEECH ST
WOODVILLE, TX 75979
Nurse Practitioner (Family)
104 N BEECH ST
WOODVILLE, TX 75979

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 104 N Beech St, Woodville, TX 75979. The listed phone number is (409) 283-2822.

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.

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 1 other insurer 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.

When was this NPI record last updated?

The NPPES record for Lisa Proctor was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.