1. Home
  2. Directory
  3. Oregon
  4. Pendleton
  5. Nurse Practitioner
  6. NPI Profile

MRS. LYNN MARIE LIEUALLEN FNP
NPI 1629069893
Nurse Practitioner in Pendleton, OR

Active since November 04, 2005PECOS Enrolled
2461 SW PERKINS AVE, PENDLETON, OR 97801(541) 276-0250(541) 276-0253 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lynn Marie Lieuallen Fnp NPPES

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

MRS. LYNN MARIE LIEUALLEN FNP (NPI 1629069893) is an individual nurse practitioner in Pendleton, Oregon, licensed in Oregon (200350090NPFNPPP) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629069893
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LYNN MARIE LIEUALLENCredential: FNP
Location Address2461 SW PERKINS AVEPendleton, OR 97801-4301
Mailing Address2461 Sw Perkins AvePendleton, OR 97801-4301 · (541) 276-0250 · Fax (541) 276-0253
Phone(541) 276-0250
Fax(541) 276-0253
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 4, 2005
Last NPPES UpdateMay 3, 2013
✔ NPI 1629069893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OR · 200350090NPFNPPP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2461 SW PERKINS AVE, Pendleton, OR 97801
Open in Google Maps ↗

Other Identifiers 1

Medicaid297428OR

Accepted Insurance

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

Mrs. Lynn Marie Lieuallen Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749413136
PECOS Enrollment IDI20260311002583
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97801 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 4

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

MRS. SARA SCHWEIGERT RICKMAN MD
Pediatrics
2461 SW PERKINS AVE
PENDLETON, OR 97801
Umatilla County (541) 276-0250
RHONDA LYNN WYLAND MD
Pediatrics
2461 SW PERKINS AVE
PENDLETON, OR 97801
Umatilla County (541) 276-0250
TERI LEE ROSSELLE FNP
Nurse Practitioner (Family)
2461 SW PERKINS AVE
PENDLETON, OR 97801
Umatilla County (541) 276-0250
PEDIATRIC SPECIALISTS OF PENDLETON, LLC
Clinic/Center (Rural Health)
2461 SW PERKINS AVE
PENDLETON, OR 97801
Umatilla County (514) 276-0250

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 Lynn Lieuallen's NPI number?

The NPI number for Lynn Lieuallen is 1629069893. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Lynn Lieuallen located?

Lynn Lieuallen practices at 2461 SW Perkins Ave, Pendleton, OR 97801. The listed phone number is (541) 276-0250.

What is Lynn Lieuallen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lynn Lieuallen enrolled in Medicare?

Yes. Lynn Lieuallen is registered in the Medicare PECOS enrollment system.

What insurance does Lynn Lieuallen accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lynn Lieuallen 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 Lynn Lieuallen affiliated with any hospitals?

According to CMS data, Lynn Lieuallen is affiliated with St Anthony Hospital.

When was this NPI record last updated?

The NPPES record for Lynn Lieuallen was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.