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LISA PETERSON ARNP
NPI 1790056554
Nurse Practitioner - Psychiatric/Mental Health in Bellevue, WA

Active since January 25, 2012PECOS Enrolled
12629 SE 54TH ST, BELLEVUE, WA 98006(808) 780-5257 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Peterson Arnp NPPES

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

LISA PETERSON ARNP (NPI 1790056554) is an individual psychiatric/mental health provider in Bellevue, Washington, licensed in Washington (AP60267893) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790056554
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA PETERSONCredential: ARNP
Location Address12629 SE 54TH STBellevue, WA 98006-2916
Mailing Address12629 Se 54th StBellevue, WA 98006-2916 · (808) 780-5257
Phone(808) 780-5257
Sole ProprietorNo
Enumeration DateJanuary 25, 2012
✔ NPI 1790056554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP60267893
12629 SE 54TH ST, Bellevue, WA 98006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

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 Peterson Arnp 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 98006 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Peterson's NPI number?

The NPI number for Lisa Peterson is 1790056554. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Lisa Peterson located?

Lisa Peterson practices at 12629 SE 54th St, Bellevue, WA 98006. The listed phone number is (808) 780-5257.

What is Lisa Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Peterson enrolled in Medicare?

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

What insurance does Lisa Peterson accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Lisa Peterson 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 Peterson was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.