MS. LISA TISCH (NP) – Family Nurse Practitioner, NPI 1144753088

MS. LISA TISCH (NP) is a healthcare provider. based in Liberty lake, Washington. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. AP60840779 (WA). The NPI Number for MS. LISA TISCH (NP) is 1144753088

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA TISCH (NP)
NPI
1144753088
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
7 April 2017
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2016 (10 years ago)
PAC ID
5092083923
Group Practice PAC ID
6800128067
Professional Enrollment ID
I20181112001508

Contacts

Secure Messaging
ltisch971681@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

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Provider Addresses for MS. LISA TISCH (NP)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Fax: (509) 227-7070

    Type: Mailing

  • 551, East Hawthorne Road, Country Homes, Spokane County, Washington, 99218, United States

    SPOKANE, WA 992181417

    Phone: (509) 489-2369

    Fax: (509) 227-7070

    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: 2018-11-12

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
I20181112001508INurse 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.

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

Insurance plans in this area (ZIP 99019)

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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: 6800128067View full group profile
NameSpecialtyState
-WA
-WA
-OR
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantWA
Physician AssistantWA
-MT
Physician AssistantWA
Physician AssistantWA

Reviews

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Frequently asked questions

What number should I use to identify MS. LISA TISCH (NP) for billing?
Administrative and clinical systems typically use NPI 1144753088 for MS. LISA TISCH (NP).
Should I treat MS. LISA TISCH (NP) as an active provider?
Patients and plans typically see MS. LISA TISCH (NP) as active in the national extract.
What services align with MS. LISA TISCH (NP)'s listing?
MS. LISA TISCH (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. LISA TISCH (NP)?
MS. LISA TISCH (NP) shows a connection to Liberty Lake, Washington in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.