DAWN LISA LIDSTONE FNP
NPI 1922403542
Nurse Practitioner - Family in Canaan, CT
About Dawn Lisa Lidstone Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAWN LISA LIDSTONE FNP (NPI 1922403542) is an individual family provider in Canaan, Connecticut, licensed in Connecticut (007744) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dawn Lisa Lidstone Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Dawn Lidstone reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Amenia, NY 12501
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 390 clinicians in this Medicare group
Needham, MA 02492
- Reassigned Medicare billing, Massachusetts enrollment
- 240 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Connecticut and Massachusetts enrollments
- 167 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dawn Lidstone's NPI number?
The NPI number for Dawn Lidstone is 1922403542. It was assigned to this individual provider in the NPPES registry on October 24, 2014.
Where is Dawn Lidstone located?
Dawn Lidstone practices at 76 Church St, Canaan, CT 06018. The listed phone number is (860) 624-0731.
What is Dawn Lidstone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dawn Lidstone enrolled in Medicare?
Yes. Dawn Lidstone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dawn Lidstone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Lidstone reassigns Medicare benefits to 4 organizations: Sun River Health Inc (Amenia, NY), Step Up Care PC LLC (Danielson, CT), Supportive Behavioral Care Of Ma LLC (Needham, MA) and Signify Health Medical Associates, PLLC (Dallas, 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 Dawn Lidstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dawn Lidstone accept?
Health plans from CareSource (Common Ground Healthcare) list Dawn Lidstone 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 Dawn Lidstone was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dawn Lisa Lidstone, FNP · NPI 1922403542
Family physician in Canaan, Connecticut. Individual provider, active in the CMS NPPES registry since October 24, 2014.
## Identity
- **NPI:** 1922403542 (Entity type: Individual)
- **Enumerated:** October 24, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 007744 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 76 CHURCH ST, Canaan, CT 06018-2447
- **Phone:** (860) 624-0731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sun River Health Inc (NPI 1568526838, Amenia, NY); Step Up Care PC LLC (NPI 1154884740, Danielson, CT); Supportive Behavioral Care Of Ma LLC (NPI 1780115519, Needham, MA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1922403542) · Data from the CMS NPPES public registry.