DR. LISA CATHLEEN KIENEKER MD
NPI 1215422928
Family Medicine in La Conner, WA
About Dr. Lisa Cathleen Kieneker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA CATHLEEN KIENEKER MD (NPI 1215422928) is an individual family medicine provider in La Conner, Washington, licensed in Washington (MD61130841) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Lisa Cathleen Kieneker 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 Reassignments
2Medicare enrollment records show Lisa Kieneker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Arlington, WA 98223
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Skagit Valley Hospital
Acute Care Hospitals · Mount Vernon, WAIsland Hospital
Acute Care Hospitals · Anacortes, WASamaritan Hospital
Acute Care Hospitals · Moses Lake, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kieneker's NPI number?
The NPI number for Lisa Kieneker is 1215422928. It was assigned to this individual provider in the NPPES registry on June 25, 2018.
Where is Lisa Kieneker located?
Lisa Kieneker practices at 528 Myrtle St, La Conner, WA 98257. The listed phone number is (360) 466-0107.
What is Lisa Kieneker's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lisa Kieneker enrolled in Medicare?
Yes. Lisa Kieneker 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 organizations bill Medicare for Lisa Kieneker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kieneker reassigns Medicare benefits to 2 organizations: Optum Care Washington PLLC (Arlington, WA) and The Polyclinic PLLC (Seattle, WA). Each 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 Kieneker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Kieneker accept?
Health plans from Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Sanford Health Plan list Lisa Kieneker 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 Kieneker affiliated with any hospitals?
According to CMS data, Lisa Kieneker is affiliated with Skagit Valley Hospital, Island Hospital and Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Kieneker was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Lisa Cathleen Kieneker, MD · NPI 1215422928
Family Medicine physician in La Conner, Washington. Individual provider, active in the CMS NPPES registry since June 25, 2018.
## Identity
- **NPI:** 1215422928 (Entity type: Individual)
- **Enumerated:** June 25, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61130841 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 528 MYRTLE ST, La Conner, WA 98257
- **Phone:** (360) 466-0107
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Optum Care Washington PLLC (NPI 1366154304, Arlington, WA); The Polyclinic PLLC (NPI 1174594634, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 8, 2026
- **Other identifiers:** Medicaid 2179902 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215422928) · Data from the CMS NPPES public registry.