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Active NPI 1992226021 Individual Practitioner Female Practitioner

Dr. Lisa Nicole Anderson , MD

Surgery • Provo, UT

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Anderson, MD is a certified Surgery practicing in Provo, UT. With approximately 9 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 2017, Dr. Anderson delivers high-quality medical care to the local community at 1055 N 300 W STE 101.

Dr. Anderson does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W Ste 101

Provo, UT 846043381

Telephone 8018523460
Fax 8018523459
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

2017

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Provo, UT

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -7.9 yrs vs City Avg
City Avg: 16.9 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
18 Specialists

Practicing in Provo, UT (278 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (9 Years) 9 Yrs
Provo Specialty Average (16.9 Years) 16.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License UT 14242949-1205

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.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License OH 35.149055

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TX 664589

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License TX V2686

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1417906181

Doctor of Medicine (M.D.)

NPI 1528008588

Doctor of Medicine (M.D.)

NPI 1679727432

Doctor of Medicine (M.D.)

S Olsen , FNP-C

Nurse Practitioner

NPI 1689283699

Family Nurse Practitioner (Certified)

Cindy Evans , APRN

Nurse Practitioner - Family

NPI 1841470879

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 1055 N 300 W STE 101, PROVO, UT 846043381 (Tel: 8018523460)

📍
Updated Business Mailing Address July 27, 2026

Registered at 3550 N UNIVERSITY AVE STE 250, PROVO, UT 846046695 (Tel: 8013749625)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Surgery (License #14242949-1205 in UT)

📍
Updated Practice Location February 19, 2025

Registered at 7777 FOREST LN STE C614, DALLAS, TX 752306856 (Tel: 9725667499)

📍
Updated Business Mailing Address February 19, 2025

Registered at 7777 FOREST LN STE C614, DALLAS, TX 752306856 (Tel: 9725667499)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2025

Surgery (License #35.149055 in OH)

📍
Updated Practice Location August 07, 2023

Registered at 1145 OLENTANGY RIVER RD FL 3, COLUMBUS, OH 432123117 (Tel: 6142934040)

📍
Updated Business Mailing Address August 07, 2023

Registered at 700 ACKERMAN RD STE 2120, COLUMBUS, OH 432021559 (Tel: 6142934040)

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 28, 2017

Registered at 3601 4TH ST STOP 8312, LUBBOCK, TX 794308312 (Tel: (806) 743-3720)

📍
Updated Business Mailing Address June 28, 2017

Registered at 3601 4TH ST STOP 8312, LUBBOCK, TX 794308312 (Tel: 8067433720)

👤
Provider Name / Credentials Updated June 28, 2017

Recorded as LISA ANDERSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Student in an Organized Health Care Education/Training Program (License #664589 in TX)

🟢
Initial NPI Registration & Enumeration June 28, 2017

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: 1992226021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2017
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

3550 N University Ave Ste 250

Provo, UT 846046695

Phone: 8013749625

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.