Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA CATHLEEN KIENEKER MD
NPI 1215422928
Family Medicine in La Conner, WA

Q: 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.

Q: What is Lisa Kieneker's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: 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 56 days 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.

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment

528 MYRTLE ST, LA CONNER, WA 98257(360) 466-0107 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 8, 2026, Aug 5, 2021, Sep 2, 2020 and 2 more (5 updates tracked since 2018).

On this page

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

NPI1215422928

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA CATHLEEN KIENEKERCredential: MD

Location Address528 MYRTLE STLa Conner, WA 98257

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(360) 466-0107

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 25, 2018

Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1215422928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · MD61130841✔ Licensed in FL · TRN27403

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

528 MYRTLE ST, La Conner, WA 98257

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Other Identifiers 1

Medicaid2179902WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719235480

PECOS Enrollment IDI20210729003108

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.

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, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500007

Location1211 24th StreetAnacortes, WA 98221 · Skagit County

Emergency services Birthing friendly

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500033

Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County

Emergency services Birthing friendly

Physician 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.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims15 services$1.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$21.30 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

What insurance does Lisa Kieneker accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence 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 56 days 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.