Individual provider Active NPI

Andrew Lister, DO

  • Psychiatry Physician
  • North Port, FL
National Provider Identifier
1992167191
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS16085 Issued in FL
Practice address
2268 Darley Oak Way
North Port, FL 34289-1903
Phone
(954) 805-4374
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS16085 FL Primary

Addresses

Primary practice location

2268 Darley Oak Way
North Port, FL 34289-1903

Mailing address

2268 Darley Oak Way
North Port, FL 34289-1903

Other practice location 1

24451 Sandhill Blvd Unit B
Punta Gorda, FL 33983-5214
Phone (941) 347-8447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191004003220 MI Practitioner - Psychiatry 6800127820 Reassigns benefits to 3 organizations
I20200702000101 FL Practitioner - Psychiatry 6800127820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians
Pacifica Care PLLCGroup PAC ID 7911184692, 6 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

1010 S Madison Ave
Bay City, MI 48708-7261
Phone (989) 895-2200

24451 Sandhill Blvd
Unit B
Punta Gorda, FL 33983-5214
Phone (941) 347-8447

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince Oct 21, 2025 Accepting new patients
The Guidance Center CurrentSince Sep 1, 2019 Accepting new patients
Bee You Psychiatry and Therapy Services PLLC Psychiatry CurrentSince Nov 9, 2025 Accepting new patients
Pacifica Care PLLC CurrentSince Oct 1, 2022 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince May 1, 2020 Accepting new patients

Locations

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

13121 Atlantic Blvd
Ste 100
Jacksonville, FL 32225
Phone (904) 221-2232

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

24451 Sandhill Blvd
#B
Punta Gorda, FL 33983
Phone (941) 235-8929

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pacificacare.andrewlister@143693.advancedmd-direct.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1992167191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 DARLEY OAK WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342891903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 DARLEY OAK WAY",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342891903",
            "telephone_number": "954-805-4374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24451 Sandhill Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339835214",
            "country_code": "US",
            "telephone_number": "941-347-8447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISTER",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS16085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.