LISA ARCHER – Family Nurse Practitioner, NPI 1043648702

LISA ARCHER is a healthcare provider. based in Centralia, Washington. specializing in NURSE PRACTITIONER. They hold a License No. AP122090 (TX). The NPI Number for LISA ARCHER is 1043648702

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
LISA ARCHER
NPI
1043648702
Phone
(360) 330-9044
Address
2428 W Reynolds Ave
Enumeration Date
16 October 2013
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603309044
Graduation Year
1996 (30 years ago)
PAC ID
0840511960
Group Practice PAC ID
5496641177
Professional Enrollment ID
I20191220001486
Address ID
WA985314554CE2428XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for LISA ARCHER

  • 2428 W Reynolds Ave

    Centralia, WA 985314554

    Phone: (360) 330-9044

    Type: Location

  • 3687 COOKS HILL RD

    CENTRALIA, WA 985319011

    Phone: (210) 284-2787

    Type: Location

  • 29607 TERRA BELLA

    BOERNE, TX 780154572

    Phone: (210) 284-2787

    Type: Location

  • 450 ALASKAN WAY S STE 200

    SEATTLE, WA 981042785

    Phone: (888) 731-8994

    Type: Mailing

  • 2428 W REYNOLDS AVE

    CENTRALIA, WA 985314554

    Phone: (360) 330-9044

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-03-29 • Largest payer in this snapshot: Lilly USA, LLC ($205).

Total Amount

$377

General + Research + Ownership

Payments

18

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-29

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: 2019-12-20

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
I20150602000166INurse PractitionerTXTBD
I20191220001486INurse 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
36415Insertion of needle into vein for collection of blood sample6549$0
99213Established patient office or other outpatient visit, 20-29 minutes6141$0
99214Established patient office or other outpatient visit, 30-39 minutes4028$0
83036Hemoglobin a1c level2617$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 5496641177View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerWA
Mental Health CounselorWA
Marriage And Family TherapistWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Nurse PractitionerFL
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LISA ARCHER?
LISA ARCHER — NPI 1043648702 — is the standard way to identify this listing.
Can I rely on LISA ARCHER being an active provider?
As of the registry snapshot, LISA ARCHER is marked active.
What is LISA ARCHER best known for clinically?
Directory data describes LISA ARCHER with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect LISA ARCHER on a map?
Expect Centralia, Washington as a primary anchor for LISA ARCHER unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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