Lysandra Oliver, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5023991 Issued in NC

Practice address

302 Mount Tabor Rd
Red Springs, NC 28377-6415

Phone

(910) 227-2850

Fax

(910) 227-2847

NPI assigned

Oct 2, 2025

Last updated

Feb 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robeson Health Care CorporationGroup PAC ID 1850290693, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robeson Health Care Corporation

  dba Julian T Pierce Health Center

  • Federally Qualified Health Center (FQHC)
  • Pembroke, NC
  • NPI 1750348538
  Medicare reassignment Care Compare group NPD (past)
• Robeson Health Care Corporation

  dba Maxton Medical Center

  • Federally Qualified Health Center (FQHC)
  • Maxton, NC
  • NPI 1093772410
  NPD
• Robeson Health Care Corporation

  dba Fairmont Family Dental

  • Federally Qualified Health Center (FQHC)
  • Fairmont, NC
  • NPI 1184490104
  NPD
• Robeson Health Care Corporation

  dba South Robeson Medical Center

  • Federally Qualified Health Center (FQHC)
  • Fairmont, NC
  • NPI 1417914722
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1760356745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PLAZA CIR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727386",
            "telephone_number": "910-521-2900",
            "fax_number": "910-775-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MOUNT TABOR RD",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283776415",
            "telephone_number": "910-227-2850",
            "fax_number": "910-227-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "LYSANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin and Johnson Community Living
• Rachel Munn, P.A.
• Native Angels Total Property Management, LLC (Total Property Management,LLC)
• New Journey Family Practice PLLC
• Yolanda Ntock
• Stephanie Oliver, NP-C
• Monica Sandoval Oxendine, RPH
• Starlet Marie Chavis Oxendine, DDS
• Jessica Parker
• Prather's Family Care Home

• Family Nurse Practitioner in Red Springs, NC
• Providers in Red Springs, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.