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LIDIA WIERSUM
NPI 1558605071
Nurse Practitioner - Gerontology in Issaquah, WA

Active since November 21, 2012PECOS EnrolledAccepts Medicare Assignment
2445 270TH AVE SE, ISSAQUAH, WA 98029(262) 748-5588 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lidia Wiersum NPPES

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

LIDIA WIERSUM (NPI 1558605071) is an individual gerontology provider in Issaquah, Washington, licensed in Washington (AP60321256) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1558605071
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameLIDIA WIERSUM
Location Address2445 270TH AVE SEIssaquah, WA 98029-7901
Mailing Address2445 270th Ave SeIssaquah, WA 98029-7901 · (262) 748-5588
Phone(262) 748-5588
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 21, 2012
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1558605071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WA · AP60321256
2445 270TH AVE SE, Issaquah, WA 98029
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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

Lidia Wiersum 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 ID4880849363
PECOS Enrollment IDI20130307000299
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
99 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
30 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98029 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Lidia Wiersum's NPI number?

The NPI number for Lidia Wiersum is 1558605071. It was assigned to this individual provider in the NPPES registry on November 21, 2012.

Where is Lidia Wiersum located?

Lidia Wiersum practices at 2445 270th Ave SE, Issaquah, WA 98029. The listed phone number is (262) 748-5588.

What is Lidia Wiersum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lidia Wiersum enrolled in Medicare?

Yes. Lidia Wiersum 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 Lidia Wiersum accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lidia Wiersum 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 Lidia Wiersum affiliated with any hospitals?

According to CMS data, Lidia Wiersum is affiliated with Swedish Edmonds Hospital and Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Lidia Wiersum was last updated on October 9, 2020. 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.