Lisa Danielle Proctor, APRN FNP-C - Medicare Nurse Practitioner in Tyler, TX

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Lisa Danielle Proctor, APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice D And F Med, Pllc and her current practice location is 3593 E Grande Blvd, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-1664.

Lisa Danielle Proctor is licensed to practice in Texas (license number 1058113) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508521584.

Contact Information

Lisa Danielle Proctor, APRN FNP-C
3593 E Grande Blvd,
Tyler, TX 75707-1400
(903) 606-1664
(903) 525-1590

Map and Direction




Provider's Profile

Full NameLisa Danielle Proctor
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3593 E Grande Blvd, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Danielle Proctor graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1508521584
  • Provider Enumeration Date: 11/03/2021
  • Last Update Date: 09/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8022495951
  • Enrollment ID: I20220516001845

Medical Identifiers

Medical identifiers for Lisa Danielle Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508521584NPI-NPPES
1058113OtherTXTEXAS BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1058113 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
D And F Med, Pllc65077746688

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Danielle Proctor allows following entities to bill medicare on her behalf.
Entity NameBurke Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396792420
PECOS PAC ID: 1254312077
Enrollment ID: O20040527000661
Entity NameD & F Med, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114149671
PECOS PAC ID: 6507774668
Enrollment ID: O20041109000806
Entity NameHealth and Human Services Commission
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Danielle Proctor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Danielle Proctor, APRN FNP-C
104 N Beech St,
Woodville, TX 75979-4718

Ph: (409) 283-2822		Lisa Danielle Proctor, APRN FNP-C
3593 E Grande Blvd,
Tyler, TX 75707-1400

Ph: (903) 606-1664

Reviews and Comments


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Abram Ambriz, NP
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Anna Elise Fenton, NP
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Mary Anne Fitzgerald, NP
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Rendall Northcutt, FNP
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Jeremy Michael Troyer, FNP
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Practice Location: 5414 S Broadway Ave, Tyler, TX 75703
Phone: 903-581-1601    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.