Kenneth Paolo Dagdag Lising, MSN, APRN, FNP-C
NPI 1003465105ActiveIndividual· Nurse Practitioner, Family· Fullerton, CA
Nurse Practitioner, Family (MSN, APRN, FNP-C) with Providence Medical Foundation, practicing in Fullerton, California. Their prescriptions cost Medicare Part D more than their services did: $49,263 for 1,669 claims, against $14,226 paid for services in 2024. Novo Nordisk Inc was the largest of 6 companies reporting payments in 2025, $263.45 in all, mostly food and beverage. Lists Providence St. Jude Medical Center as a hospital affiliation.
Overview
| NPI | 1003465105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, FNP-C |
| Sole proprietor | No |
| NPI issued | Sep 11, 2019 |
| Last updated in NPPES | Nov 11, 2021 |
| Certified by provider | Nov 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95012739 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 500 across 37 procedure codes |
| Paid by Medicare | $14,226 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,669 · 2,658 30-day fills |
|---|---|
| Patients | 574 |
| Total drug cost | $49,263 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliation
- Providence St. Jude Medical CenterFullerton, CA
Industry payments (Open Payments)
- 2025$263.45 · 12 payments from 6 companies
- 2024$434.41 · 21 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $105.03 | 5 |
| Abbvie Inc. | $46.32 | 2 |
| Pfizer Inc. | $43.40 | 2 |
| Glaxosmithkline, LLC. | $25.04 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $24.92 | 1 |
What the 2025 payments were for
- Food and Beverage$263.45 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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