LISA 'LEE' ANN VIVANCO DNP
NPI 1871088427
Nurse Practitioner - Psychiatric/Mental Health in Renton, WA

Q: What is Lisa 'lee' Vivanco's NPI number?

The NPI number for Lisa 'lee' Vivanco is 1871088427. It was assigned to this individual provider in the NPPES registry on June 26, 2018. The provider is also known as Lisa 'lee' Ann Mccaffrey Dnp.

Q: What is Lisa 'lee' Vivanco's specialty?

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

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment

400 S 43RD ST, RENTON, WA 98055(425) 228-3440(425) 656-4214 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2021, Nov 9, 2018, Jun 26, 2018 (3 updates tracked since 2018).

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About Lisa 'lee' Ann Vivanco Dnp NPPES

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

LISA 'LEE' ANN VIVANCO DNP (NPI 1871088427) is an individual psychiatric/mental health provider in Renton, Washington, licensed in Washington (AP60865969) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871088427

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA 'LEE' ANN VIVANCOCredential: DNP

Location Address400 S 43RD STRenton, WA 98055-5714

Mailing Address400 S 43rd StRenton, WA 98055-5714 · (425) 228-3440 · Fax (425) 656-4270

Phone(425) 228-3440

Fax(425) 656-4214

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 26, 2018

Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2026

✔ NPI 1871088427 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 · AP60865969

400 S 43RD ST, Renton, WA 98055

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Other Names 1

Other Name (5)Lisa 'lee' Ann Mccaffrey Dnp

Secondary Practice Locations 3

Location 1325 W Gowe StKent, WA 98032-5892 · Phone (253) 833-7444

Location 221847 SE 270th StMaple Valley, WA 98038-7417 · Phone (206) 660-0023

Location 32901 Squalicum PkwyBellingham, WA 98225-1851 · Phone (360) 734-5400

Other Identifiers 1

Medicaid2104819WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa 'lee' Ann Vivanco Dnp 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 ID9537410279

PECOS Enrollment IDI20180919003550

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa 'lee' Vivanco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Medical Group-Renton

0.1 mi

General Acute Care Hospital

400 S 43RD ST
Renton, WA 98055

Reassigned Medicare billing, Washington enrollment
689 clinicians in this Medicare group

NPI 1619209574 (425) 228-3440

Valley Cities Counseling And Consultation

4.3 mi

Community/Behavioral Health

325 W GOWE ST
Kent, WA 98032

Reassigned Medicare billing, Washington enrollment
125 clinicians in this Medicare group

NPI 1972668853 (206) 408-5382

Navos

9.6 mi

Mental Health (Including Community Mental Health Center)

2600 SW HOLDEN ST
Seattle, WA 98126

Reassigned Medicare billing, Washington enrollment
84 clinicians in this Medicare group

NPI 1194728105 (206) 933-7214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

75 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services32 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

31 services22 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500088

Location400 S 43rd StRenton, WA 98055 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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.

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.

CATHERINE A MICKELSON SLP

Speech-Language Pathologist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

IRENE A BRYANT PT

Physical Therapist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

JEFFREY C THOMPSON MD

Internal Medicine

400 S 43RD ST, RM 3H-1-053
RENTON, WA 98055

King County (425) 228-3440

AARON TZUPENG FANG M.D.

Hospitalist

400 S 43RD ST
RENTON, WA 98055

King County (425) 228-3440

DR. TORY JOHN OLSEN MD

Student in an Organized Health Care Education/Training Program

400 S 43RD ST
RENTON, WA 98055

King County (425) 656-4224

ANNE B VILLARI PT

Physical Therapist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5165

DAN LAM RPH

Pharmacist

400 S 43RD ST
RENTON, WA 98055

King County (425) 251-5164

ANNA L SAMSON STEIN MD

Hospitalist

400 S 43RD ST
RENTON, WA 98055

King County (425) 228-3440

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 'lee' Vivanco's NPI number?

The NPI number for Lisa 'lee' Vivanco is 1871088427. It was assigned to this individual provider in the NPPES registry on June 26, 2018. The provider is also known as Lisa 'lee' Ann Mccaffrey Dnp.

Where is Lisa 'lee' Vivanco located?

Lisa 'lee' Vivanco practices at 400 S 43rd St, Renton, WA 98055. The listed phone number is (425) 228-3440.

What is Lisa 'lee' Vivanco's specialty?

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

Is Lisa 'lee' Vivanco enrolled in Medicare?

Yes. Lisa 'lee' Vivanco 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.

Which organizations bill Medicare for Lisa 'lee' Vivanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa 'lee' Vivanco reassigns Medicare benefits to 3 organizations: Valley Medical Group-Renton (Renton, WA), Valley Cities Counseling And Consultation (Kent, WA) and Navos (Seattle, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa 'lee' Vivanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa 'lee' Vivanco accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lisa 'lee' Vivanco 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.

Is Lisa 'lee' Vivanco affiliated with any hospitals?

According to CMS data, Lisa 'lee' Vivanco is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa 'lee' Vivanco was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.