Lisa Fredrickson
NPI 1023576493ActiveIndividual· Dentist, General Practice· Windsor, CT
Dentist, General Practice in Windsor, Connecticut, licensed in CT, with an NPI issued in March 2019. Part D covered 30 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1023576493 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 5, 2019 |
| Last updated in NPPES | Aug 20, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 12734 | CT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 30 · 30 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $84.77 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Windsor
- 1821217399
- 1770758674
- 1346233061
- 1871668731
- 1861905036
- 1417312430
- 1730917576
- 1659582419
- 1770810319
- 1720736531
- 1790966687
- 1265608210