LISA D BUSH
NPI 1528372380
Physician Assistant - Medical in Portland, OR

Active since August 03, 2010PECOS EnrolledAccepts Medicare Assignment
84.46/100
CMS Quality Rating
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 418-1472(503) 418-1495 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 6, 2022, Mar 27, 2021, Apr 2, 2020 (3 updates tracked since 2020).

About Lisa D Bush NPPES

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

LISA D BUSH (NPI 1528372380) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA152660) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528372380
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA D BUSH
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park Rd., Mail Code Sjh-2Portland, OR 97239-3011 · (503) 418-1472 · Fax (503) 418-1495
Fax(503) 418-1495
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 3, 2010
Last NPPES UpdateMarch 6, 20223 updates tracked since enumeration
NPPES CertifiedMarch 6, 2022
✔ NPI 1528372380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA152660
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA152660 (OR)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 1210 SE 136th AveVancouver, WA 98684-6930 · Phone (360) 944-9889 · Fax (360) 944-9686

Accepted 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

Lisa D Bush 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 ID5395930127
PECOS Enrollment IDI20101105001169
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.32
Improvement Activities40
Cost46.21

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.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Bush's NPI number?

The NPI number for Lisa Bush is 1528372380. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Lisa Bush located?

Lisa Bush practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-1472.

What is Lisa Bush's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lisa Bush enrolled in Medicare?

Yes. Lisa Bush 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 Bush accept?

Health plans from Kaiser Permanente and Moda Health Plan, Inc. list Lisa Bush 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.

When was this NPI record last updated?

The NPPES record for Lisa Bush was last updated on March 6, 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.