LIZZIE COLON – Primary Care Nurse Practitioner, NPI 1992115851

LIZZIE COLON is a healthcare provider. based in Portland, Oregon. specializing in Primary Care Nurse Practitioner. They hold a License No. 201802416NP-PP (OR). The NPI Number for LIZZIE COLON is 1992115851

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LIZZIE COLON
NPI
1992115851
Phone
(503) 943-7211
Address
5000 N WILLAMETTE BLVD
Enumeration Date
30 April 2014
Last Update Date
6 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1850729948
Group Practice PAC ID
9032023270
Professional Enrollment ID
I20200324002328
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for LIZZIE COLON

  • 5000 N WILLAMETTE BLVD

    PORTLAND, OR 97203

    Phone: (503) 943-7211

    Type: Location

  • 913 NW GARDEN VALLEY BLVD

    ROSEBURG, OR 974716523

    Phone: (541) 440-1000

    Type: Mailing

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: 2020-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200324002328INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97203)

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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: 9032023270View full group profile

Reviews

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Frequently asked questions

Can I verify LIZZIE COLON with an NPI only?
You can start verification with NPI 1992115851 for LIZZIE COLON, then check state licensing separately.
Is LIZZIE COLON listed as active for patients and plans?
The listing shows LIZZIE COLON as active in the NPI system.
What is LIZZIE COLON best known for clinically?
Directory data describes LIZZIE COLON with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LIZZIE COLON based?
LIZZIE COLON is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
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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