Doctor profile · Federal record
Dr. Lista Dallis
Family Nurse Practitioner (CMS: Nurse Practitioner) · Tahlequah, OK
- NPI 1104468610
- Accepts Medicare
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 E Downing St Ste 214
Tahlequah, OK 744643379
(918) 413-0202
fax (918) 431-0203 - Mailing address
-
Po Box 751
Hulbert, OK 744410751
Credentials & registration
- NPI registered
- October 2019 — 7 yrs on file
- Profile last updated
- February 17, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Oklahoma #99753
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104468610. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
146
Distinct HCPCS
5
Medicare allowed
$1,630
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 61 | 14 | $0 | |
96372 |
Injection of drug or substance under skin or into muscle | 27 | 20 | $11 | |
87804 |
Detection test by immunoassay with direct visual observation for influenza virus | 26 | 12 | $16 | |
87811 |
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 20 | 14 | $41 | |
J1030 |
Injection, methylprednisolone acetate, 40 mg | 12 | 11 | $7 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 57. This provider delivers 2.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
814
Patients
304
Total drug cost
$9,854
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 109 | 37 | $767 |
| Atorvastatin Calcium | Generic | 72 | 30 | $879 |
| Levothyroxine Sodium | Generic | 64 | 22 | $818 |
| Amlodipine Besylate | Generic | 62 | 23 | $398 |
| Meloxicam | Generic | 57 | 23 | $470 |
| Pantoprazole Sodium | Generic | 50 | 16 | $700 |
| Trazodone Hcl | Generic | 50 | 16 | $876 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 47 | 21 | $1,174 |
| Losartan Potassium | Generic | 45 | 19 | $587 |
| Tramadol Hcl | Generic | 45 | 0 | $377 |
Frequently asked questions
What is Dr. Lista Dallis's medical specialty?
Dr. Lista Dallis practices Family Nurse Practitioner in Tahlequah, OK.
Where does Dr. Lista Dallis practice?
Dr. Lista Dallis practices at 1500 E Downing St Ste 214, Tahlequah, OK 744643379. Office phone: 9184130202.
What is Dr. Lista Dallis's NPI?
Dr. Lista Dallis's National Provider Identifier (NPI) is 1104468610, issued by NPPES.
Does Dr. Lista Dallis accept Medicare assignment?
Yes. Dr. Lista Dallis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lista Dallis commonly perform?
Top Medicare-reported procedures in 2023: Injection, dexamethasone sodium phosphate, 1 mg (HCPCS J1100); Injection of drug or substance under skin or into muscle (HCPCS 96372); Detection test by immunoassay with direct visual observation for influenza virus (HCPCS 87804). Source: CMS Medicare Physician & Other Practitioners file.