Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174639595 Individual Practitioner Female Practitioner

Lisa M Allen , PA-C

Physician Assistant • Sudan, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Allen, PA-C is a certified Physician Assistant practicing in Sudan, TX. With approximately 29 years of clinical experience since completing medical education in 1997, Lisa Allen delivers high-quality medical care to the local community at 408 E US HWY 84.

Lisa Allen is affiliated with Sudan Medical Clinic, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, automated urinalysis test, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

408 E Us Hwy 84

Sudan, TX 79371

Telephone 8062272292
Fax 8062272293
Associated Practice Facility / Clinic
🏢 Sudan Medical Clinic, Llc Facility NPI 1215942073

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sudan, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs Matches City Avg
City Avg: 29.0 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Sudan, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Allen (29 Years) 29 Yrs
Sudan Specialty Average (29.0 Years) 29.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
42 26 $35.00 $9.52
81003 Automated urinalysis test
31 23 $30.00 $2.20
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
22 20 $150.00 $68.88

Medical Specialties & State Licenses

CMS Verified: 2022-05-26
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02006

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
8N9892 (TX)

Hospital & Practice Group Affiliations

Sudan Medical Clinic, Llc

408 Us Hwy 84, Sudan, TX 793714509

Phone: 8062272292

Sudan Medical Clinic, Llc

408 E Us Hwy 84, Sudan, TX 79371

Sudan Medical Clinic, Llc

408 E Us Hwy 84, Sudan, TX 793714509

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jaysol Venzor , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1255054755

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Erin Gonzales , FNP-C

Nurse Practitioner - Family

NPI 1265927545

Family Nurse Practitioner (Certified)

Linda Bullock , FNP

Nurse Practitioner

NPI 1619975604

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2014

Registered at 408 E US HWY 84, SUDAN, TX 79371 (Tel: 8062272292)

📍
Updated Business Mailing Address November 24, 2014

Registered at PO BOX 119, SUDAN, TX 793710119 (Tel: 8062272292)

👤
Provider Name / Credentials Updated November 24, 2014

Recorded as LISA ALLEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2014

Physician Assistant (License #PA02006 in TX)

🟢
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174639595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: May 26, 2022
Sole Proprietor: No

Mailing Address

Po Box 119

Sudan, TX 793710119

Phone: 8062272292

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.