Lista Dallis
NPI 1104468610 · Family Nurse Practitioner · Tahlequah, OK
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lista Dallis is a Family Nurse Practitioner provider in Tahlequah, OK (NPI 1104468610).
Provider details
- NPI number
- 1104468610
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 99753 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
115 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Hemoglobin A1c Level83036 | 36 | $10 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 36 | $15 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 25 | $41 |
| Urinalysis, Manual Test81002 | 18 | $3 |
Typical Medicare-allowed amounts for these services range $3–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 66 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Lisinopril | 117 | 38 |
| Atorvastatin Calcium | 115 | 37 |
| Levothyroxine Sodium | 103 | 30 |
| Losartan Potassium | 85 | 27 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 77 | 25 |
| Amlodipine Besylate | 71 | 26 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2022-02-17
- Certified
- 2022-02-17
Frequently asked questions
- What is Lista Dallis's NPI number?
- Lista Dallis's National Provider Identifier (NPI) is 1104468610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lista Dallis's specialty?
- Lista Dallis is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lista Dallis located?
- Lista Dallis's practice location on file with NPPES is 1500 E Downing St Ste 214, Tahlequah, OK 74464-3379.
- What is Lista Dallis's phone number?
- The practice phone number listed in the NPPES registry for Lista Dallis is (918) 413-0202.
- Does Lista Dallis accept Medicare?
- Lista Dallis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lista Dallis's NPI active?
- Yes — Lista Dallis's NPI (1104468610) is active in the NPPES registry as of the last update on 2022-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.