LISA ANN DAVIDSON CPNP
NPI 1285026880
Nurse Practitioner - Pediatrics in Silverdale, WA

Q: What is Lisa Davidson's NPI number?

The NPI number for Lisa Davidson is 1285026880. It was assigned to this individual provider in the NPPES registry on February 19, 2015. The provider is also known as Lisa Ann Johnson.

Q: What is Lisa Davidson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Davidson was last updated on February 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 19, 2015PECOS Enrolled

1800 NW MYHRE RD, SILVERDALE, WA 98383(360) 337-8800 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lisa Ann Davidson Cpnp NPPES

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

LISA ANN DAVIDSON CPNP (NPI 1285026880) is an individual pediatrics provider in Silverdale, Washington, licensed in Washington (60534425) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285026880

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLISA ANN DAVIDSONCredential: CPNP

Location Address1800 NW MYHRE RDSilverdale, WA 98383-7663

Mailing Address920 Ventura DrTacoma, WA 98465-1111 · (253) 312-7488

Phone(360) 337-8800

Sole ProprietorYes

Enumeration DateFebruary 19, 2015

✔ NPI 1285026880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WA · 60534425

Also ListedRegistered NurseTaxonomy 163W00000X · License 95952 (WA)

1800 NW MYHRE RD, Silverdale, WA 98383

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Other Names 1

Former Name (1)Lisa Ann Johnson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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 (PECOS)

Lisa Ann Davidson Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98383 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.

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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.

GLEN CARLSON MD

Emergency Medicine