LIESEL ERNST – Physician Assistant, NPI 1417226382

LIESEL ERNST is a healthcare provider. based in Bend, Oregon. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA184560 (OR). The NPI Number for LIESEL ERNST is 1417226382

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
LIESEL ERNST
NPI
1417226382
Phone
(541) 382-5712
Address
2747 NE CONNERS AVE
Enumeration Date
22 December 2011
Last Update Date
9 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412002777
Graduation Year
2011 (15 years ago)
PAC ID
2668630708
Group Practice PAC ID
5890083729
Professional Enrollment ID
I20171108001605
Address ID
OR975046462ME2924XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for LIESEL ERNST

  • 2747 NE CONNERS AVE

    BEND, OR 977018738

    Phone: (541) 382-5712

    Fax: (541) 382-2605

    Type: Mailing

  • 2924 SISKIYOU BLVD STE 100

    MEDFORD, OR 975048194

    Phone: (541) 816-4567

    Type: Location

  • 2924 SISKIYOU BLVD STE 200

    MEDFORD, OR 975046462

    Phone: (541) 200-2777

    Fax: (541) 214-2575

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,810.

Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($548).

Total Amount

$1,810

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-24

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
I20171108001605IPhysician AssistantORTBD
I20221024002058IPhysician AssistantCATBD

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
17003Destruction of precancer skin growth, 2-14 growths39976$0
99203New patient office or other outpatient visit, 30-44 minutes135135$0
17000Destruction of precancer skin growth, 1 growth115107$0
99213Established patient office or other outpatient visit, 20-29 minutes111101$0
17110Destruction of skin growth, 1-14 growths9387$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 5890083729View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantCT
Dermatology, Micrographic Dermatologic Surgery (Mds)VA
Physician AssistantOR

Reviews

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Frequently asked questions

What identifier follows LIESEL ERNST across health systems?
The NPI 1417226382 uniquely identifies LIESEL ERNST in U.S. healthcare data.
Does the public listing show LIESEL ERNST as active?
LIESEL ERNST's NPI record reflects an active status in NPPES.
What does the directory say LIESEL ERNST does?
Insurance directories may phrase it differently, but here LIESEL ERNST maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to LIESEL ERNST?
The directory associates LIESEL ERNST with Bend, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.