JUSTINE LISELLA MPA-C
NPI 1740669266
Physician Assistant - Medical in Saint Helens, OR

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
525 N COLUMBIA RIVER HWY, SAINT HELENS, OR 97051(503) 366-6244 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justine Lisella Mpa-c NPPES

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

JUSTINE LISELLA MPA-C (NPI 1740669266) is an individual medical provider in Saint Helens, Oregon, licensed in Oregon (PA172389) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1740669266
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJUSTINE LISELLACredential: MPA-C
Location Address525 N COLUMBIA RIVER HWYSaint Helens, OR 97051-1226
Mailing Address2010 Nw Front Ave, Apt. C501Portland, OR 97209-1852 · (570) 423-2141
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 29, 2015
NPI 1740669266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA172389
525 N COLUMBIA RIVER HWY, Saint Helens, OR 97051

Accepted 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

Justine Lisella Mpa-c 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 ID2567702269
PECOS Enrollment IDI20190315001000
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.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051
Internal Medicine
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051
Physician Assistant (Medical)
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051
Family Medicine
525 N COLUMBIA RIVER HWY
ST HELENS, OR 97051
Family Medicine
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051
Naturopath
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051
Physician Assistant (Medical)
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR 97051

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 Justine Lisella's NPI number?

The NPI number for Justine Lisella is 1740669266. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Justine Lisella located?

Justine Lisella practices at 525 N Columbia River Hwy, Saint Helens, OR 97051. The listed phone number is (503) 366-6244.

What is Justine Lisella's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Justine Lisella enrolled in Medicare?

Yes. Justine Lisella 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.

What insurance does Justine Lisella accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Justine Lisella 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 Justine Lisella was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.