LARA JESIC LAWLOR (FNP) – Family Nurse Practitioner, NPI 1518089572

LARA JESIC LAWLOR (FNP) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 200850097NP (OR). The NPI Number for LARA JESIC LAWLOR (FNP) is 1518089572

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
LARA JESIC LAWLOR (FNP)
NPI
1518089572
Phone
(503) 418-3900
Address
3930 SE DIVISION ST
Enumeration Date
3 April 2007
Last Update Date
11 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2006 (20 years ago)
PAC ID
6103924329
Group Practice PAC ID
2163855032
Professional Enrollment ID
I20210915003671
Address ID
AK995777043EA17101LNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for LARA JESIC LAWLOR (FNP)

  • 3930 SE DIVISION ST

    RICHMOND WALK-IN CLINIC

    PORTLAND, OR 972021643

    Phone: (503) 418-3900

    Type: Mailing

  • 3930 SE Division St

    Richmond Walk-in Clinic

    Portland, OR 972021643

    Phone: (503) 418-3900

    Type: Location

  • PO BOX 5608

    PORTLAND, OR 972285608

    Phone: (888) 227-3312

    Type: Mailing

  • 1389 HUFFMAN PARK DR STE 110

    ANCHORAGE, AK 995153534

    Phone: (888) 227-3312

    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: 2023-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130731000198INurse PractitionerORTBD
I20210915003671INurse PractitionerAKTBD
I20231219002411INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes283237$0
99203New patient office or other outpatient visit, 30-44 minutes200200$0
81003Automated urinalysis test9785$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen6462$0
99214Established patient office or other outpatient visit, 30-39 minutes5956$0
View full utilization report →

Insurance plans in this area (ZIP 97202)

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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: 2163855032View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm LARA JESIC LAWLOR (FNP)'s NPI?
Yes. LARA JESIC LAWLOR (FNP) is listed with NPI 1518089572 in the public NPI dataset.
Is LARA JESIC LAWLOR (FNP) listed as active for patients and plans?
The listing shows LARA JESIC LAWLOR (FNP) as active in the NPI system.
What taxonomy line describes LARA JESIC LAWLOR (FNP)?
For research purposes, treat LARA JESIC LAWLOR (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does LARA JESIC LAWLOR (FNP) list a practice location?
Patients near Portland, Oregon may find LARA JESIC LAWLOR (FNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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