1. Home
  2. Directory
  3. Washington
  4. Bonney Lake
  5. Physician Assistant
  6. NPI Profile

LISA MARIE GAIL P.A.-C
NPI 1740564798
Physician Assistant in Bonney Lake, WA

Active since October 07, 2011PECOS Enrolled
10004 204TH AVE E, # 1200, 3400, BONNEY LAKE, WA 98391(253) 848-5951(253) 845-7073 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Marie Gail P.a.-c NPPES

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

LISA MARIE GAIL P.A.-C (NPI 1740564798) is an individual physician assistant in Bonney Lake, Washington, licensed in Washington (PA60729786) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740564798
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLISA MARIE GAILCredential: P.A.-C
Location Address10004 204TH AVE E, # 1200, 3400Bonney Lake, WA 98391-6539
Mailing Address3908 10th St SePuyallup, WA 98374-2188 · (253) 848-5951 · Fax (253) 845-7073
Phone(253) 848-5951
Fax(253) 845-7073
Sole ProprietorNo
Enumeration DateOctober 7, 2011
Last NPPES UpdateMay 8, 2017
✔ NPI 1740564798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60729786
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10004 204TH AVE E, Bonney Lake, WA 98391
Open in Google Maps ↗

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 Marie Gail P.a.-c 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 98391 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 20

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

DON MASSEY PA-C
Physician Assistant
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
MR. BRANDON ALAN SWISHER PA-C
Physician Assistant (Surgical)
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JENNIE G HENDRIE M.D.
Pediatrics
10004 204TH AVE E, SUITE 1300
BONNEY LAKE, WA 98391
Pierce County (253) 848-8797
ERIN ELIZABETH ROTHENBERG PA-C
Physician Assistant
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JEAN PIERE RIVERA NIEVES PA
Physician Assistant (Medical)
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
KIERSTI DEVANEY ARNP
Nurse Practitioner
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
TRAVIS LAIRD PT
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Pierce County (253) 863-7510
MR. BRYAN JAMES ANTONIUS R.T.
Radiologic Technologist (Radiography)
10004 204TH AVE E, SUITE 2600
BONNEY LAKE, WA 98391
Pierce County (253) 446-3983

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 Gail's NPI number?

The NPI number for Lisa Gail is 1740564798. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Lisa Gail located?

Lisa Gail practices at 10004 204th Ave E # 1200, 3400, Bonney Lake, WA 98391. The listed phone number is (253) 848-5951.

What is Lisa Gail's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lisa Gail enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Gail was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.