JOANNA L LEZAK (ANP) – Nurse Practitioner, NPI 1366445967

JOANNA L LEZAK (ANP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 200450078NP (OR). The NPI Number for JOANNA L LEZAK (ANP) is 1366445967

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA L LEZAK (ANP)
NPI
1366445967
Phone
(503) 413-3940
Address
1130 NW 22ND AVE
Enumeration Date
27 May 2005
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036921212
Graduation Year
2004 (22 years ago)
PAC ID
7719954130
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20040915000399
Address ID
OR970627706PO19300AVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

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Provider Addresses for JOANNA L LEZAK (ANP)

  • 1130, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 110

    PORTLAND, OR 972102900

    Phone: (503) 413-3940

    Fax: (503) 413-1860

    Mailing address matches the actual address.

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: 2006-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040915000399INurse PractitionerORTBD
I20060524000137INurse PractitionerWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6138$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5655$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th4016$0
99215Established patient office or other outpatient visit, 40-54 minutes3017$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97210)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

What is JOANNA L LEZAK (ANP)'s NPI number?
JOANNA L LEZAK (ANP)'s NPI is 1366445967 — the number used across U.S. healthcare to identify this provider.
Is JOANNA L LEZAK (ANP) still an active registrant?
JOANNA L LEZAK (ANP) carries an active NPI according to the public dataset.
What clinical focus is listed for JOANNA L LEZAK (ANP)?
At a glance, JOANNA L LEZAK (ANP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JOANNA L LEZAK (ANP)?
Directory geography for JOANNA L LEZAK (ANP) centers on Portland, Oregon.
Does JOANNA L LEZAK (ANP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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