Ms Lisa Wall, NP in Clackamas, OR - Medicare Nurse Practitioner

Ms Lisa Wall, NP is a medicare enrolled "Nurse Practitioner - Family" in Clackamas, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and her current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 652-2880.

Ms Lisa Wall is licensed to practice in Oregon (license number 201907739NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699255109.

Contact Information

	Ms Lisa Wall, NP
	10180 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 652-2880
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Lisa Wall
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Lisa Wall graduated from nursing school in 2019

NPI Data:

NPI Number: 1699255109
Provider Enumeration Date: 08/15/2018
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1254743214
Enrollment ID: I20201215003063

Medical Identifiers

Medical identifiers for Ms Lisa Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699255109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	201240001 (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	201907739NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1484

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Lisa Wall allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lisa Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Lisa Wall, NP 51654 Se 6th St, Scappoose, OR 97056-4504 Ph: () -	Ms Lisa Wall, NP 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 652-2880

Reviews and Comments

Nurse Practitioner Nurses in Clackamas, OR

Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984
Amanda Ankeny, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015 Phone: 503-659-1694
Mrs. Kelcey Chilcott, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015 Phone: 503-659-1694

Ms Lisa Wall, NP - Medicare Nurse Practitioner in Clackamas, OR