LISA CAROL RIBERA PA-C
NPI 1922165513
Physician Assistant - Medical in Shelton, WA

Active since January 02, 2007PECOS Enrolled
1701 N 13TH ST, SHELTON, WA 98584(360) 426-2653 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2023, Nov 17, 2020 (2 updates tracked since 2020).

About Lisa Carol Ribera Pa-c NPPES

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

LISA CAROL RIBERA PA-C (NPI 1922165513) is an individual medical provider in Shelton, Washington, licensed in Washington (PA10005025) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922165513
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLISA CAROL RIBERACredential: PA-C
Location Address1701 N 13TH STShelton, WA 98584-2077
Mailing AddressPo Box 1668Shelton, WA 98584-5001 · (360) 427-9549 · Fax (360) 462-2500
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1922165513 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 WA · PA10005025
1701 N 13TH ST, Shelton, WA 98584

Other Names 1

Former Name (1)Lisa Carol Dell Pa-c

Other Identifiers 2

OtherPA10005025WA · Pa-c State License
Medicaid8477416WA

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 (PECOS)

Lisa Carol Ribera Pa-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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Ophthalmology
1701 N 13TH ST
SHELTON, WA 98584
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Obstetrics & Gynecology
1701 N 13TH ST
SHELTON, WA 98584
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584

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 Ribera's NPI number?

The NPI number for Lisa Ribera is 1922165513. It was assigned to this individual provider in the NPPES registry on January 2, 2007. The provider is also known as Lisa Carol Dell Pa-C.

Where is Lisa Ribera located?

Lisa Ribera practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.

What is Lisa Ribera's specialty?

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

Is Lisa Ribera enrolled in Medicare?

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

What insurance does Lisa Ribera accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa Ribera 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 Ribera was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.