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MS. LISA C.S. ROOTVIK ARNP
NPI 1528371564
Nurse Practitioner - Adult Health in Kennewick, WA

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment
7350 W DESCHUTES AVE STE A, KENNEWICK, WA 99336(509) 783-9894(509) 737-3423 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 26, 2021, Feb 10, 2021, Aug 20, 2020 and 3 more (6 updates tracked since 2016).

About Ms. Lisa C.s. Rootvik Arnp NPPES

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

MS. LISA C.S. ROOTVIK ARNP (NPI 1528371564) is an individual adult health provider in Kennewick, Washington, licensed in Washington (AP60391951) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528371564
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LISA C.S. ROOTVIKCredential: ARNP
Location Address7350 W DESCHUTES AVE STE AKennewick, WA 99336-7802
Mailing Address550 Gage Blvd Ste 101Richland, WA 99352-9532 · (509) 942-3627 · Fax (509) 627-2983
Phone(509) 783-9894
Fax(509) 737-3423
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 20, 2010
Last NPPES UpdateFebruary 26, 20216 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1528371564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in WA · AP60391951✔ Licensed in MD · R190791
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60391951 (WA)
7350 W DESCHUTES AVE STE A, Kennewick, WA 99336
Open in Google Maps ↗

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

Ms. Lisa C.s. Rootvik Arnp 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 ID1557548104
PECOS Enrollment IDI20140102001544
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.

Medicare Billing Reassignment

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

Kadlec Regional Medical Center
1.6 mi
Orthopaedic Surgery
1351 FOWLER ST
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 454 clinicians in this Medicare group
NPI 1194263608 (509) 946-1654

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 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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.

Other Providers at the Same Location NPPES 2

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

RYAN DOUGLAS KRAUS MD
Radiology (Radiation Oncology)
7350 W DESCHUTES AVE STE A
KENNEWICK, WA 99336
Benton County (509) 737-3371
DR. SHERRY ZHAO M.D.
Radiology (Radiation Oncology)
7350 W DESCHUTES AVE STE A
KENNEWICK, WA 99336
Benton County (509) 737-3371

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 Rootvik's NPI number?

The NPI number for Lisa Rootvik is 1528371564. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Lisa Rootvik located?

Lisa Rootvik practices at 7350 W Deschutes Ave Ste A, Kennewick, WA 99336. The listed phone number is (509) 783-9894.

What is Lisa Rootvik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Rootvik enrolled in Medicare?

Yes. Lisa Rootvik 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 Rootvik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rootvik reassigns Medicare benefits to Kadlec Regional Medical Center (Richland, 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 Rootvik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Rootvik affiliated with any hospitals?

According to CMS data, Lisa Rootvik is affiliated with St Anthony Hospital, Good Shepherd Medical Center, Trios Health, Kadlec Regional Medical Center and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Rootvik was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.