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LISA G BREISACHER L.N.P.
NPI 1700883303
Nurse Practitioner in Coeur D Alene, ID

Active since June 28, 2005PECOS Enrolled
1919 LINCOLN WAY, 315, COEUR D ALENE, ID 83814(208) 625-6000 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa G Breisacher L.n.p. NPPES

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

LISA G BREISACHER L.N.P. (NPI 1700883303) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (NP399A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700883303
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA G BREISACHERCredential: L.N.P.
Location Address1919 LINCOLN WAY, 315Coeur D Alene, ID 83814-2527
Mailing Address1919 Lincoln Way, 315Coeur D Alene, ID 83814-2527 · (208) 625-6000
Phone(208) 625-6000
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1700883303 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 ID · NP399A
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.
1919 LINCOLN WAY, Coeur D Alene, ID 83814
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Other Identifiers 2

Medicare UPINS53361
Medicaid805545800ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa G Breisacher L.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 16

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

RYAN JOHN GILLES MD
Family Medicine
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
CRYSTAL LEE PYRAK MD
Family Medicine
1919 LINCOLN WAY, STE 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
DR. MARIA R RODEBAUGH MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1919 LINCOLN WAY, 211
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5500
MARIE NOEL SWART MD
Student in an Organized Health Care Education/Training Program
1919 LINCOLN WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
MR. TIMOTHY JAMES DOTY PA
Physician Assistant
1919 LINCOLN WAY, 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
DR. KEVIN ROBERT WEBB M.D.
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY, STE 415
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4595
JONATHAN MOORE SHUPE M.D.
Family Medicine
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000
BRITTANY T FICEK FNP
Nurse Practitioner
1919 LINCOLN WAY, 315
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6000

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 Breisacher's NPI number?

The NPI number for Lisa Breisacher is 1700883303. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Lisa Breisacher located?

Lisa Breisacher practices at 1919 Lincoln Way 315, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6000.

What is Lisa Breisacher's specialty?

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

Is Lisa Breisacher enrolled in Medicare?

Yes. Lisa Breisacher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Breisacher was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.