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LYSANDRA OLIVER FNP
NPI 1760356745
Nurse Practitioner - Family in Red Springs, NC

Active since October 02, 2025PECOS EnrolledAccepts Medicare Assignment
302 MOUNT TABOR RD, RED SPRINGS, NC 28377(910) 227-2850(910) 227-2847 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lysandra Oliver Fnp NPPES

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

LYSANDRA OLIVER FNP (NPI 1760356745) is an individual family provider in Red Springs, North Carolina, licensed in North Carolina (5023991) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760356745
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYSANDRA OLIVERCredential: FNP
Location Address302 MOUNT TABOR RDRed Springs, NC 28377-6415
Mailing Address60 Commerce Plaza CirPembroke, NC 28372-7386 · (910) 521-2900 · Fax (910) 775-9165
Phone(910) 227-2850
Fax(910) 227-2847
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1760356745 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 NC · 5023991
302 MOUNT TABOR RD, Red Springs, NC 28377
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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

Lysandra Oliver Fnp 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 ID42791584
PECOS Enrollment IDI20260224000515
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28377 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 11

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

FAITH ELIZABETH HUNT NP
Nurse Practitioner (Family)
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
MS. JEANNE DORIS THOMPSON FNP-BC
Nurse Practitioner (Family)
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
JESSICA BLAIR BELL ANP
Nurse Practitioner (Adult Health)
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
STEPHANIE OLIVER NP-C
Nurse Practitioner
302 MOUNT TABOR RD, SUITE A
RED SPRINGS, NC 28377
Robeson County (910) 843-9991
ROBESON HEALTH CARE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
KIMBERLY MICHELLE LOCKLEAR FNP
Nurse Practitioner (Family)
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
JADA BROOKE LOWRY PHYSICIAN ASSISTANT
Physician Assistant
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 227-2850
ROBESON HEALTH CARE CORPORATION
Pharmacy (Community/Retail Pharmacy)
302 MOUNT TABOR RD
RED SPRINGS, NC 28377
Robeson County (910) 586-0030

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 Lysandra Oliver's NPI number?

The NPI number for Lysandra Oliver is 1760356745. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Lysandra Oliver located?

Lysandra Oliver practices at 302 Mount Tabor Rd, Red Springs, NC 28377. The listed phone number is (910) 227-2850.

What is Lysandra Oliver's specialty?

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

Is Lysandra Oliver enrolled in Medicare?

Yes. Lysandra Oliver 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.

When was this NPI record last updated?

The NPPES record for Lysandra Oliver was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.