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MRS. LISA NICOLE ODOM
NPI 1598007668
Pediatrics in Spokane Valley, WA

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
16528 E DESMET CT STE B1000, SPOKANE VALLEY, WA 99216(509) 944-8770(509) 944-8856 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Aug 25, 2021, Dec 25, 2020 (3 updates tracked since 2020).

About Mrs. Lisa Nicole Odom NPPES

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

MRS. LISA NICOLE ODOM (NPI 1598007668) is an individual pediatrics provider in Spokane Valley, Washington, licensed in Washington (MD70024994) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of University Of Colorado School Of Medicine, Aurora (2013).

NPPES Registry Identity

NPI1598007668
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. LISA NICOLE ODOM
Location Address16528 E DESMET CT STE B1000Spokane Valley, WA 99216-3522
Mailing AddressPob 31001-4114Pasadena, CA 91110-4114 · (866) 747-2455 · Fax (509) 944-9644
Phone(509) 944-8770
Fax(509) 944-8856
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1598007668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · MD70024994✔ Licensed in ID · M-13382
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
16528 E DESMET CT STE B1000, Spokane Valley, WA 99216
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Secondary Practice Location 1

Location 11090 W Park PlCoeur D Alene, ID 83814-2785 · Phone (208) 215-2005 · Fax (844) 807-3782

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.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

Mrs. Lisa Nicole Odom 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 ID5890082804
PECOS Enrollment IDI20250807000941
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 99216 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 3

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

JEFFREY STEVEN KING MSW
Social Worker (Clinical)
16528 E DESMET CT STE B1000
SPOKANE VALLEY, WA 99216
Spokane County (509) 944-8770
DR. TAMALYN JO BUNN MD
Pediatrics
16528 E DESMET CT STE B1000
SPOKANE VALLEY, WA 99216
Spokane County (509) 944-8770
KATELYNN HOUGER RD
Dietitian, Registered
16528 E DESMET CT STE B1000
SPOKANE VALLEY, WA 99216
Spokane County (509) 392-6815

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 Odom's NPI number?

The NPI number for Lisa Odom is 1598007668. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Lisa Odom located?

Lisa Odom practices at 16528 E Desmet Ct Ste B1000, Spokane Valley, WA 99216. The listed phone number is (509) 944-8770.

What is Lisa Odom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Odom enrolled in Medicare?

Yes. Lisa Odom 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 Odom accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa Odom 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 Odom was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.