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

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: July 26, 2026.

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

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
Open in Google Maps ↗

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

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 '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.

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.

IMAGING PARTNERS AT VALLEY LLC
Radiology (Diagnostic Radiology)
400 S 43RD ST, OLYMPIC BUILDING
RENTON, WA 98055
King County (425) 656-5550
MS. KATHLEEN PORTER PHARM.D.
Pharmacist
400 S 43RD ST
RENTON, WA 98055
King County (425) 917-6776
MR. NICHOLAS M REZEK PA C
Physician Assistant
400 S 43RD ST
RENTON, WA 98055
King County (425) 228-3450
STEPHEN WILLIAM BRETZ MD
Emergency Medicine (Emergency Medical Services)
400 S 43RD ST, ER DEPT
RENTON, WA 98055
King County (425) 251-3440
JOHN PAUL NARDELLA MD
Anesthesiology
400 S 43RD ST
RENTON, WA 98055
King County (800) 540-1814
VALLEY ANESTHESIA ASSOCIATES, PLLC
Anesthesiology
400 S 43RD ST
RENTON, WA 98055
King County (800) 540-1814
PETER R. SCHMIDT MD
Emergency Medicine (Emergency Medical Services)
400 S 43RD ST, ER DEPT
RENTON, WA 98055
King County (425) 228-3450
PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Surgery
400 S 43RD ST
RENTON, WA 98055
King County (425) 656-5512

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.

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 with the weekly NPPES data releases published by CMS.