LISA ANNE BROCK (APRN-BC) – Nurse Practitioner, NPI 1255422366
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
Provider Addresses for LISA ANNE BROCK (APRN-BC)
6800 SW 105TH AVE
BEAVERTON, OR 970085468
Phone: (503) 430-1777
Type: Location
Fellowship Louisville, 11001, Bluegrass Parkway, Jeffersontown, Jefferson County, Kentucky, 40299, United States
LOUISVILLE, KY 402992361
Phone: (502) 568-7366
Fax: (502) 568-7114
Type: Mailing
4301, North Walnut Street, Muncie, Delaware County, Indiana, 47303, United States
MUNCIE, IN 473031190
Phone: (765) 282-0053
Fax: (765) 282-3290
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070426000475 | I | Nurse Practitioner | IN | TBD |
| I20251114003243 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 749 | 214 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 168 | 158 | $0 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 121 | 110 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 107 | 80 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 64 | 46 | $0 |
Insurance plans in this area (ZIP 97008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | TX | |
| Family Practice | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Hospitalist, Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR |
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