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LISA MARIA CRANDALL M.A. CCC-SLP
NPI 1245342278
Speech-Language Pathologist in Clackamas, OR

Active since August 31, 2006Accepts Medicare Assignment
10180 SE SUNNYSIDE RD, SPEECH PATHOLOGY DEPARTMENT, CLACKAMAS, OR 97015(503) 652-2880(503) 571-5838 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Maria Crandall M.a. Ccc-slp NPPES

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

LISA MARIA CRANDALL M.A. CCC-SLP (NPI 1245342278) is an individual speech-language pathologist provider in Clackamas, Oregon, licensed in Oregon (11792) and active in the NPI registry since August 2006. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1245342278
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA MARIA CRANDALLCredential: M.A. CCC-SLP
Location Address10180 SE SUNNYSIDE RD, SPEECH PATHOLOGY DEPARTMENTClackamas, OR 97015-8970
Mailing Address10180 Se Sunnyside Rd, Speech Pathology DepartmentClackamas, OR 97015-8970 · (503) 571-3823
Phone(503) 652-2880
Fax(503) 571-5838
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1245342278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in OR · 11792
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
10180 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Names 1

Former Name (1)Lisa Maria Przybyla Remmer M.a. Ccc-slp

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 Maria Crandall M.a. Ccc-slp 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 ID5698098655
PECOS Enrollment IDI20141223001151

Medicare Billing Reassignment

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

Kaiser Foundation Health Plan Of The Northwest
0.3 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

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

Other Providers at the Same Location NPPES 20

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

DR. DANIEL FORREST LOTSPEICH MD
Internal Medicine
10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015
Clackamas County (503) 652-2880
MEGAN LEA KELLY
Emergency Medicine
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015
Clackamas County (503) 652-2880
JARROD L LARSON M.D.
Anesthesiology
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
JESSICA DAWN SEXTON-DORSETT
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
MR. DANE JAMES SLAGLE CRNA
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-4506
RACHAEL SCOONES
Nurse Anesthetist, Certified Registered
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
ERIK WILLIAM FOSS MD
Radiology (Diagnostic Radiology)
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
DR. CARA LEE ROZELL D.O.
Psychiatry & Neurology (Neurology)
10180 SE SUNNYSIDE RD, DEPT OF NEUROLOGY, CLINIC C
CLACKAMAS, OR 97015
Clackamas County (503) 571-7200

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 Crandall's NPI number?

The NPI number for Lisa Crandall is 1245342278. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Lisa Maria Przybyla Remmer M.A. Ccc-Slp.

Where is Lisa Crandall located?

Lisa Crandall practices at 10180 SE Sunnyside Rd Speech Pathology Department, Clackamas, OR 97015. The listed phone number is (503) 652-2880.

What is Lisa Crandall's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Crandall enrolled in Medicare?

Yes. Lisa Crandall 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 Crandall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Crandall reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Crandall'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 Crandall was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.