MS. LISA WALL NP
NPI 1699255109
Nurse Practitioner - Family in Clackamas, OR
About Ms. Lisa Wall Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA WALL NP (NPI 1699255109) is an individual family provider in Clackamas, Oregon, licensed in Oregon (201907739NP-PP) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hillsboro, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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 Wall Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Wall's NPI number?
The NPI number for Lisa Wall is 1699255109. It was assigned to this individual provider in the NPPES registry on August 15, 2018.
Where is Lisa Wall located?
Lisa Wall practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 652-2880.
What is Lisa Wall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Wall enrolled in Medicare?
Yes. Lisa Wall 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 Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wall reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Wall accept?
Health plans from Kaiser Permanente list Lisa Wall 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 Wall was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Lisa Wall, NP · NPI 1699255109
Family physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since August 15, 2018.
## Identity
- **NPI:** 1699255109 (Entity type: Individual)
- **Enumerated:** August 15, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 201907739NP-PP (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10180 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (503) 652-2880
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699255109) · Data from the CMS NPPES public registry.