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

LISA NICOLE ANDERSON MD
NPI 1992226021
Surgery in Provo, UT

Q: What is Lisa Anderson's NPI number?

The NPI number for Lisa Anderson is 1992226021. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Lisa Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Anderson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 28, 2017PECOS Enrolled

1055 N 300 W STE 101, PROVO, UT 84604(801) 852-3460(801) 852-3459 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2026, Feb 19, 2025, Aug 7, 2023 and 2 more (5 updates tracked since 2017).

On this page

About Lisa Nicole Anderson Md NPPES

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

LISA NICOLE ANDERSON MD (NPI 1992226021) is an individual surgery provider in Provo, Utah, licensed in Utah (14242949-1205) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2017).

NPPES Registry Identity

NPI1992226021

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameLISA NICOLE ANDERSONCredential: MD

Location Address1055 N 300 W STE 101Provo, UT 84604-3381

Mailing Address3550 N University Ave Ste 250Provo, UT 84604-6695 · (801) 374-9625 · Fax (801) 374-9690

Phone(801) 852-3460

Fax(801) 852-3459

Sole ProprietorNo

Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2017

Enumeration DateJune 28, 2017

Last NPPES UpdateJuly 27, 20265 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1992226021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in UT · 14242949-1205

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 35.149055 (OH), V2686 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 664589 (TX)

1055 N 300 W STE 101, Provo, UT 84604

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Nicole Anderson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789955444

PECOS Enrollment IDI20260305003614

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.

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450647

Location7777 Forest LaneDallas, TX 75230 · Dallas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

D ANDERSON MILLAR MD

Surgery

1055 N 300 W STE 101
PROVO, UT 84604

Utah County (801) 852-3460

S SOPHIA OLSEN FNP-C

Nurse Practitioner

1055 N 300 W STE 101
PROVO, UT 84604

Utah County (801) 852-3460

CINDY STOCK EVANS A.P.R.N.

Nurse Practitioner (Family)

1055 N 300 W STE 101
PROVO, UT 84604

Utah County (801) 852-3460

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 Anderson's NPI number?

The NPI number for Lisa Anderson is 1992226021. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Lisa Anderson located?

Lisa Anderson practices at 1055 N 300 W Ste 101, Provo, UT 84604. The listed phone number is (801) 852-3460.

What is Lisa Anderson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lisa Anderson enrolled in Medicare?

Yes. Lisa Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Anderson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Lisa Anderson 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 Anderson affiliated with any hospitals?

According to CMS data, Lisa Anderson is affiliated with Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Anderson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.