LISA ANDERSEN
NPI 1730484312
Physician Assistant - Surgical in Portland, OR

Q: What is Lisa Andersen's NPI number?

The NPI number for Lisa Andersen is 1730484312. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Q: What is Lisa Andersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Andersen was last updated on February 17, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 13, 2011PECOS EnrolledAccepts Medicare Assignment

86.03/100

CMS Quality Rating

5050 NE HOYT ST STE 138, PORTLAND, OR 97213(503) 238-1062(503) 233-1588 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Lisa Andersen NPPES

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

LISA ANDERSEN (NPI 1730484312) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA160150) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730484312

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLISA ANDERSEN

Location Address5050 NE HOYT ST STE 138Portland, OR 97213-2955

Mailing Address5050 Ne Hoyt St Ste 138Portland, OR 97213-2955 · (503) 238-1062 · Fax (503) 233-1588

Phone(503) 238-1062

Fax(503) 233-1588

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJanuary 13, 2011

Last NPPES UpdateFebruary 17, 2014

✔ NPI 1730484312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA160150

5050 NE HOYT ST STE 138, Portland, OR 97213

Open in Google Maps ↗

Other Identifiers 1

Medicare PINR167362

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 and accepts Medicare assignment

Lisa Andersen 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 ID8426200742

PECOS Enrollment IDI20121213000430, I20240529003451

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 6

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.

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services42 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

44 services33 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

41 services41 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

33 services26 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

11 services11 patients

Mastectomy NAN04

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

0 services1 patient

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.8

Promoting Interoperability

Improvement Activities

Cost

74.15

Other Providers at the Same Location NPPES 9

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

RICHARD A RUBINSTEIN, JR, MD

Orthopaedic Surgery