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LISA M GILLETTE ARNP
NPI 1053743716
Nurse Practitioner - Family in Des Moines, WA

Active since August 05, 2013PECOS Enrolled
24215 PACIFIC HWY S, DES MOINES, WA 98198(206) 436-6380(206) 436-6385 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa M Gillette Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M GILLETTE ARNP (NPI 1053743716) is an individual family provider in Des Moines, Washington, licensed in Washington (AP60387105) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053743716
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA M GILLETTECredential: ARNP
Location Address24215 PACIFIC HWY SDes Moines, WA 98198-4024
Mailing Address1200 12th Ave S, Suite 901Seattle, WA 98144-2712 · (206) 548-3114 · Fax (206) 762-6355
Phone(206) 436-6380
Fax(206) 436-6385
Sole ProprietorNo
Enumeration DateAugust 5, 2013
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1053743716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60387105
24215 PACIFIC HWY S, Des Moines, WA 98198
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Gillette Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Gillette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborcare Health
8.1 mi
Federally Qualified Health Center (FQHC)
10030 SW 210TH ST
Vashon, WA 98070
  • Reassigned Medicare billing, Washington enrollment
  • 292 clinicians in this Medicare group
NPI 1437603099 (206) 463-3671

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98198 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
24215 PACIFIC HWY S
DES MOINES, WA 98198
King County (206) 878-7393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Gillette's NPI number?

The NPI number for Lisa Gillette is 1053743716. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Lisa Gillette located?

Lisa Gillette practices at 24215 Pacific Hwy S, Des Moines, WA 98198. The listed phone number is (206) 436-6380.

What is Lisa Gillette's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Gillette enrolled in Medicare?

Yes. Lisa Gillette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Gillette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gillette reassigns Medicare benefits to Neighborcare Health (Vashon, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Gillette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Gillette was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.