LISA KAY HOLBROOK MD
NPI 1083647762
Family Medicine in Vancouver, WA
About Lisa Kay Holbrook Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KAY HOLBROOK MD (NPI 1083647762) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (MD00040087) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Kay Holbrook Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Holbrook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- 754 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Peacehealth Southwest Medical Center
Acute Care Hospitals · Vancouver, WALegacy Salmon Creek Medical Center
Acute Care Hospitals · Vancouver, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98683 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCOUVER, WA 98683
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 Holbrook's NPI number?
The NPI number for Lisa Holbrook is 1083647762. It was assigned to this individual provider in the NPPES registry on July 8, 2006.
Where is Lisa Holbrook located?
Lisa Holbrook practices at 3101 SE 192nd Ave Ste 103, Vancouver, WA 98683. The listed phone number is (360) 666-4480.
What is Lisa Holbrook's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lisa Holbrook enrolled in Medicare?
Yes. Lisa Holbrook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Lisa Holbrook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Holbrook reassigns Medicare benefits to Legacy Salmon Creek Hospital (Vancouver, 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 Holbrook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Holbrook accept?
Health plans from Moda Health Plan, Inc. list Lisa Holbrook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lisa Holbrook affiliated with any hospitals?
According to CMS data, Lisa Holbrook is affiliated with Peacehealth Southwest Medical Center and Legacy Salmon Creek Medical Center.
When was this NPI record last updated?
The NPPES record for Lisa Holbrook was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Lisa Kay Holbrook, MD · NPI 1083647762
Family Medicine physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1083647762 (Entity type: Individual)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00040087 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3101 SE 192ND AVE STE 103, Vancouver, WA 98683-1443
- **Phone:** (360) 666-4480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Legacy Salmon Creek Hospital (NPI 1356357784, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1997
## Record status
- **NPPES last updated:** March 13, 2025
- **Other identifiers:** Medicaid 8439028 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083647762) · Data from the CMS NPPES public registry.